Common variable immune deficiency syndrome

Ahmed A. El-Masry, Ibrahim Dwedar, Hesham A. Abdel-Halim, Riham Hazem
2014 Egyptian Journal of Chest Disease and Tuberculosis  
A male patient 40 years old, non smoker, presented with fever, cough and expectoration of greenish sputum and diarrhea of 1 week duration. The condition started 3 years ago, by cough and expectoration of about cup/day of greenish sputum, not related to posture, along with fever up to 39°C with loss of weight about 12 kg in one month and associated with diarrhea and mucus shedding. The patient sought medical advice and received empirical antibiotics and symptomatic treatments with partial
more » ... l improvement. The patient showed multiple relapses of same respiratory and gastro-enterology symptoms every 3-4 weeks with 4 hospital admissions. CT-chest was done and revealed emphysematous changes with basal inflammatory reaction (Fig. 1) ; sputum workup showed no acid fast bacilli and growth of normal flora, fasting blood glucose was 102 mg/ dl. A second CT-chest was done after one year and showed right sided pneumonic consolidation, bilateral pneumonic reaction with multiple mediastinal lymphadenopathy, bilateral pleural thickening and right encysted pleural effusion (Fig. 2) .
doi:10.1016/j.ejcdt.2014.01.002 fatcat:wk4gc3fkbrag7eeymfylymmf2q