Abstract | BACKGROUND: Good syndrome is a rare cause of combined B- and T-cell immunodeficiency that occurs in association with a thymoma. Patients affected with Good syndrome have increased susceptibility to bacterial, fungal, viral, and opportunistic infections. OBJECTIVE: To describe 2 unusual cases of infections in patients with Good syndrome and review the literature. METHODS: Case 1 describes a 51-year-old woman with Good syndrome who presented with a 10-day history of diarrhea, nausea, and fevers. During her hospitalization she became pancytopenic and underwent a bone marrow biopsy and evaluation of her peripheral blood smear. Case 2 describes an 89-year-old man with Good syndrome who presented with a nonhealing leg ulcer, which underwent biopsy. A literature search through MEDLINE was performed. Keywords included Good syndrome, thymoma, hypogammaglobulinemia, immunodeficiency, and infection. RESULTS: The peripheral blood smear in patient 1 showed ring-formed parasites in red blood cells suggestive of babesiosis. She began treatment with azithromycin, atovaquone, and doxycycline and recovered completely. Patient 2 underwent a biopsy of the foot. Immunohistochemical staining was positive for human herpesvirus 8 consistent with Kaposi sarcoma. CONCLUSIONS:
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Authors | Shradha Agarwal, Charlotte Cunningham-Rundles |
Journal | Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology
(Ann Allergy Asthma Immunol)
Vol. 98
Issue 2
Pg. 185-90
(Feb 2007)
ISSN: 1081-1206 [Print] United States |
PMID | 17304889
(Publication Type: Case Reports, Journal Article, Review)
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Chemical References |
- Immunoglobulins, Intravenous
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Topics |
- Agammaglobulinemia
(complications, immunology, therapy)
- Aged, 80 and over
- B-Lymphocytes
(immunology)
- CD4-CD8 Ratio
- CD4-Positive T-Lymphocytes
(immunology)
- Female
- Humans
- Immunoglobulins, Intravenous
(therapeutic use)
- Immunologic Deficiency Syndromes
(complications, immunology, therapy)
- Male
- Middle Aged
- Thymoma
(complications, immunology)
- Thymus Neoplasms
(complications, immunology)
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