Page 1 of 1: pediatrics

vanshu17oct1 · Credits: 2848 My Scrapbook

. 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. His temperature is 39 C (102.2 F), pulse is 130/min, and respirations are 25/min. Examination shows violaceous
preseptal (periorbital) cellulitis and oral candidiasis. Laboratory studies show:

Hemoglobin 10 g/dL
Leukocyte count 3000/mm 3
Segmented neutrophils 85%
Lymphocytes 15%
Platelet count 350,000/mm 3
Serum
IgA <5 mg/dL
IgG 300 mg/dL
IgM <5 mg/dL
A ) AIDS
B ) Chronic granulomatous disease
C ) Severe combined immunodeficiency
D ) Thymic -parathyroid dysplasia (DiGeorge syndrome)
E ) X -linked agammaglobulinemia

mumai20 · Credits: 385 My Scrapbook

severe combined immunodeficiency?

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