usmle6789
Forum Senior
Topics: 33
Posts: 49
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A 4 month old boy is brought to the physician because of a 2 day history of fever and progressive redness around his right eye. He has had persistent diarrhea and oral candidiasis since birth and was treated for pneumococcal pneumonia at the age of 2 months. He appears ill. 39c [102.2], 130, 25. Examination shows violaceous preseptal [periorbital] celllitis and oral candidiasis.
Lab values
HB- 10
WBC—3000
SEGMENTED NEUTROPHILS ----85%
LYMPHOCYTES-------- 15%
PLATELETS-------- 350, 000
SERUM
IgA <5
IgG 300
IgM <5
Most likely diagnosis?
1] AIDS
2] CHRONIC GRANULOMATOUS DISEASE
3] SCID
4] THYMIC-PARATHYROID DYSPLASIA [DIGEORGE SYNDROME]
5] X-LINKED AGAMMAGLOBULINEMIA
IS IT SCID?
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| ELM
Forum Guru
Topics: 28
Posts: 936
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I have to pick that too......seems he has both cellular and humoral J deficiency.
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ELM
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