Hello all. Last Sunday my husband experienced an acute SCLS episode even though he has been receiving monthly IVIG treatments since January 2012. In fact, this episode happened only 2 days after receiving his last monthly dosage. Just hours from getting home from his transfusion, he developed a strong stomach virus. Afer 3 days of being ill, his heart rate suddenly increased. A huge marker for us.
So, off to the ER we went. My husband was diagnosed with Gastroenteritis, caused by either a hospital bug or contaminated food. The virus triggered an SCLS episode. His hemoglobin elevated, his albumin dropped, he started to swell in one arm and he started to get a mottled pattern on his arms and legs. A classic acute episode for him.
Fortunately, we were taken care of by our specialist and the internal medicine team who have all worked with my husband. They were able to shut down the cytokine response very slowly administering another IVIG treatment, along with some fluid.
My husband survived and is home recovering now. We will continue with monthly IVIG as it does appear to be helping. He made it six entire months without an episode. However, this teaches us that we must remain alert, especially when he's ill.
For anyone who wishes to compare notes, details of my husband's transfusions are as follows:
Dose:
2gr/kb/month (every 4 weeks), spread out over 2 days
Brand:
Privigen: January to March 2012
Gamunex April to May 2012 (switched brands to try and reduce side effects)
Maximum rate:
250 ml/hr