Skip to main content
Clinical and Experimental Immunology logoLink to Clinical and Experimental Immunology
. 1975 Jan;19(1):131–141.

Cryoglobulinaemia in patients with infectious endocarditis.

D Hurwitz, F P Quismorio, G J Friou
PMCID: PMC1538038  PMID: 1204237

Abstract

Serum cryoglobulins were found in nineteen out of twenty patients with infectious endocarditis. The cryoglobulins were of the 'mixed type' consisting of IgG, IgM and IgA. C3 and fibrinogen were present in some specimens. The concentration of the cryoglobulins tended to fall with therapy and clinical improvement of the patients. Serum antibodies to the offending bacterial organism were not preferentially concentrated in the cryoglobulins. In contrast, IgM rheumatoid factor was present in the cryoglobulins, though undetectable in the corresponding serum. These findings are consistent with the view that cryoglobulins represent circulating immune complexes which may be important in the pathogenesis of immunological sequelae sometimes found in patients with infectious endocarditis.

Full text

PDF
141

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Barnett E. V., Bluestone R., Cracchiolo A., 3rd, Goldberg L. S., Kantor G. L., McIntosh R. M. Cryoglobulinemia and disease. Ann Intern Med. 1970 Jul;73(1):95–107. doi: 10.7326/0003-4819-73-1-95. [DOI] [PubMed] [Google Scholar]
  2. CHRISTIAN C. L., HATFIELD W. B., CHASE P. H. Systemic lupus erythematosus. Cryoprecipitation of sera. J Clin Invest. 1963 Jun;42:823–829. doi: 10.1172/JCI104774. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Cremer N. E., Hurwitz D., Quismorio F. P., Lennette E. H., Friou G. J. Antiviral antibodies in rheumatoid synovial fluid and cryoprecipitates. Clin Exp Immunol. 1974 Sep;18(1):27–37. [PMC free article] [PubMed] [Google Scholar]
  4. DREYFUSS F., LIBRACH G. Cold precipitable serum globulins (cold fractions, cryoglovulins) in subacute bacterial endocarditis. J Lab Clin Med. 1952 Oct;40(4):489–497. [PubMed] [Google Scholar]
  5. Hanauer L. B., Christian C. L. Studies of cryoproteins in systemic lupus erythematosus. J Clin Invest. 1967 Mar;46(3):400–408. doi: 10.1172/JCI105541. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Kaufman D. B., McIntosh R. The pathogenesis of the renal lesion in a patient with streptococcal disease, infected ventriculoatrial shunt, cryogobulinemia and nephritis. Am J Med. 1971 Feb;50(2):262–268. doi: 10.1016/0002-9343(71)90155-0. [DOI] [PubMed] [Google Scholar]
  7. Levy R. L., Hong R. The immune nature of subacute bacterial endocarditis (SBE) nephritis. Am J Med. 1973 May;54(5):645–652. doi: 10.1016/0002-9343(73)90123-x. [DOI] [PubMed] [Google Scholar]
  8. McIntosh R. M., Kaufman D. B., Kulvinskas C., Grossman B. J. Cryoglobulins. I. Studies on the nature, incidence, and clinical significance of serum cryoproteins in glomerulonephritis. J Lab Clin Med. 1970 Apr;75(4):566–577. [PubMed] [Google Scholar]
  9. McIntosh R. M., Kulvinskas C., Kaufman D. B. Cryoglobulins. II. The biological and chemical properties of cryoproteins in acute post-streptococcal glomerulonephritis. Int Arch Allergy Appl Immunol. 1971;41(5):700–715. doi: 10.1159/000230562. [DOI] [PubMed] [Google Scholar]
  10. Meltzer M., Franklin E. C., Elias K., McCluskey R. T., Cooper N. Cryoglobulinemia--a clinical and laboratory study. II. Cryoglobulins with rheumatoid factor activity. Am J Med. 1966 Jun;40(6):837–856. doi: 10.1016/0002-9343(66)90200-2. [DOI] [PubMed] [Google Scholar]
  11. Messner R. P., Laxdal T., Quie P. G., Williams R. C., Jr Rheumatoid factors in subacute bacterial endocarditis--bacterium, duration of disease or genetic predisposition? Ann Intern Med. 1968 Apr;68(4):746–756. doi: 10.7326/0003-4819-68-4-746. [DOI] [PubMed] [Google Scholar]
  12. Morel-Maroger L., Sraer J. D., Herreman G., Godeau P. Kidney in subacute endocarditis. Pathological and immunofluorescence findings. Arch Pathol. 1972 Sep;94(3):205–213. [PubMed] [Google Scholar]
  13. Tu W. H., Shearn M. A., Lee J. C. Acute diffuse glomerulonephritis in acute staphylococcal endocarditis. Ann Intern Med. 1969 Aug;71(2):335–341. doi: 10.7326/0003-4819-71-2-335. [DOI] [PubMed] [Google Scholar]
  14. WILLIAMS R. C., Jr, KUNKEL H. G. Rheumatoid factor, complement, and conglutinin aberrations in patients with subacute bacterial endocarditis. J Clin Invest. 1962 Mar;41:666–675. doi: 10.1172/JCI104523. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Whitsed H. M., Penny R. IgA-IgG cryoglobulinaemia with vasculitis. Clin Exp Immunol. 1971 Aug;9(2):183–191. [PMC free article] [PubMed] [Google Scholar]
  16. Zinneman H. H., Levi D., Seal U. S. On the nature of cryoglobulins. J Immunol. 1968 Mar;100(3):594–603. [PubMed] [Google Scholar]

Articles from Clinical and Experimental Immunology are provided here courtesy of British Society for Immunology

RESOURCES