Meningococcemia and acquired complement deficiency. Association in patients with hepatic failure.

We treated two patients with severe hepatic failure complicated by meningococcemia. Serum complement profiles performed on these patients found low total hemolytic complement assays, normal concentrations of C1q, and low or undetectable concentrations of C3 through C6, C8, C9, and factors B and I. These studies suggest that these patients developed meningococcemia in the setting of acquired complement deficiency from impaired synthesis of multiple complement system proteins.

[1]  A. Gimson,et al.  Bacteraemia in patients with fulminant hepatic failure. , 2008, Liver.

[2]  D. Armstrong,et al.  Neisseria meningitidis serogroup 29E (Z') septicemia in a patient with far advanced multiple myeloma (plasma cell leukemia) , 1985, Journal of clinical microbiology.

[3]  B. Hirschel,et al.  Meningococcemia in a patient with acquired complement deficiency and myeloma. , 1984, The New England journal of medicine.

[4]  I. Brandslund,et al.  Factor I Deficiency and C3 Nephritic Factor: Immunochemical Findings and Association with Neisseria meningitidis Infection in Two Patients , 1984, Scandinavian journal of immunology.

[5]  K. Edwards,et al.  Recurrent bacterial infections associated with C3 nephritic factor and hypocomplementemia. , 1983, The New England journal of medicine.

[6]  L. Reller,et al.  Prevalence of congenital or acquired complement deficiency in patients with sporadic meningococcal disease. , 1983, The New England journal of medicine.

[7]  R. Thompson,et al.  Meningococcal meningitis associated with persistent hypocomplementaemia due to circulating C3 nephritic factor. , 1983, Clinical and experimental immunology.

[8]  H. Colten,et al.  Complement biosynthesis by the human hepatoma-derived cell line HepG2. , 1982, The Journal of clinical investigation.

[9]  T. Lehman,et al.  Meningococcal infection complicating systemic lupus erythematosus. , 1981, The Journal of pediatrics.

[10]  A. Eddleston,et al.  Defective opsonisation and complement deficiency in serum from patients with fulminant hepatic failure. , 1980, Gut.

[11]  A. Nicholson,et al.  Host defense against Neisseria meningitidis requires a complement-dependent bactericidal activity. , 1979, Science.

[12]  B. H. Petersen,et al.  Neisseria meningitidis and Neisseria gonorrhoeae bacteremia associated with C6, C7, or C8 deficiency. , 1979, Annals of internal medicine.

[13]  G. Crawford Concomitant Hepatitis B and Meningococcal Infection , 1976 .

[14]  T. Tri Fulminant serum hepatitis and meningococcic meningitis. , 1975, JAMA.

[15]  B. Gazzard,et al.  Causes of death in fulminant hepatic failure and relationship to quantitative histological assessment of parenchymal damage. , 1975, The Quarterly journal of medicine.

[16]  F. Rosen,et al.  Inactivator of the third component of complement as an inhibitor in the properdin pathway. , 1972, Proceedings of the National Academy of Sciences of the United States of America.

[17]  T. Starzl,et al.  Serum complement after orthotopic transplantation of the human liver. , 1972, Clinical and experimental immunology.

[18]  H. Colten Biosynthesis of complement. , 1976, Advances in immunology.

[19]  H. Müller-Eberhard Biochemistry of Complement**This is publication number 541 from the Department of Experimental Pathology, Scripps Clinic and Research Foundation, La Jolla, California 92037. This work was supported by United States Public Health Service Grant AI-07007. , 1971 .