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Therapy for disseminated coccidioidomycosis with transfer factor from a related donor
Authors:Russell W. Steele  Barry E. Sieger  Theodore R. McNitt  Layne O. Gentry  William L. Moore
Affiliation:Fort Sam Houston, Texas, USA
Abstract:A 17 year old Caucasian woman in whom disseminated coccidioidomycosis developed with culture positive meningitis during her third trimester of pregnancy was treated with amphotericin B and subsequently with transfer factor prepared from her father's peripheral lymphocytes. Clinical response and in vivo and in vitro immunologic data indicated that this transfer factor afforded a significant contribution to her survival whereas previous therapy with transfer factor from an unrelated donor provided only transient immunologic reactivity. This experience suggests that transfer factor prepared from a related donor with positive responses to C. immitis may be more efficacious than that prepared from an unrelated donor.
Keywords:Requests for reprints should be addressed to Dr. Russell W. Steele   Infectious Diseases and Immunology   Department of Pediatrics   Brooke Army Medical Center   Fort Sam Houston   Texas 78234.
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