Patients deficient in late complement are susceptible to:
a) viruses
b) fungus
c) encapsulated bacteria
d) intracellular bacteria
e) protozoa
f) gonococcus and meningococcus
The correct answer is (f) gonococcus and meningococcus.
The late complement components (C5-C9) play a crucial role in forming the membrane attack complex (MAC), which creates a pore in the bacterial cell membrane, leading to lysis and death. Patients with deficiencies in late complement components are susceptible to infections with:
– Neisseria gonorrhoeae (gonococcus)
– Neisseria meningitidis (meningococcus)
These bacteria are typically killed by the MAC, but in individuals with late complement deficiencies, they can cause recurrent or severe infections, such as: