Document Detail


Hypothesis: neonatal necrotizing enterocolitis is caused by the acquisition of a pathogenic organism by a susceptible host infant.
MedLine Citation:
PMID:  3975856     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The following hypothesis is offered for the etiology of neonatal necrotizing enterocolitis (NEC): that NEC is caused by the acquisition of a potentially pathogenic organism by a susceptible host infant. To test this hypothesis, serum IgM, IgG, IgA, C3, and C4, were measured in 11 neonates with NEC and 11 control infants matched for age and birth weight. Mean initial serum IgA was found to be significantly greater (p less than 0.05) in patients with NEC (8.4 mg/dl) than in control subjects (0.6 mg/dl). This difference persisted during a subsequent period of observation. There were no significant differences in initial concentrations of the other immunoglobulins or complement components. Serum IgM was noted to increase and serum IgG to decrease in both study groups during the period of observation. C3 rose minimally and C4 fell in patients with NEC. An explanation for this alteration in serum IgA concentration in infants with NEC is, at this time, speculative. However, this association, suggests that further evaluation of host susceptibility in this patient group may lead to a better understanding of this disorder.
Authors:
M J Bell; P Shackelford; J Molleston
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgery     Volume:  97     ISSN:  0039-6060     ISO Abbreviation:  Surgery     Publication Date:  1985 Mar 
Date Detail:
Created Date:  1985-04-09     Completed Date:  1985-04-09     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0417347     Medline TA:  Surgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  350-4     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Complement C3 / analysis*
Complement C4 / analysis*
Disease Susceptibility
Enterocolitis, Pseudomembranous / immunology*
Humans
Immunocompetence
Immunoglobulin A / analysis
Immunoglobulin G / analysis
Immunoglobulin M / analysis
Immunoglobulins / analysis*
Infant, Newborn
Chemical
Reg. No./Substance:
0/Complement C3; 0/Complement C4; 0/Immunoglobulin A; 0/Immunoglobulin G; 0/Immunoglobulin M; 0/Immunoglobulins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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