For which client who has some immunodeficiency, is the administration of intravenous immunoglobulin (IVIG) contraindicated?
A. 35-year-old with selective IgA deficiency
B. 19-year-old with Bruton's agammaglobulinemia
C. 40-year-old who had a bone marrow transplant 3 weeks ago
D. 50-year old client with profound neutropenia from chemotherapy
A
IVIG contains no complete IgA. People with primary IgA deficiency do mount antibody de-fenses with all other classes of antibody and thus, do not need IVIG. In addition, they would be capable of having a severe allergic reaction to such treatment.
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