oa Current Allergy & Clinical Immunology - DR SPUR’S MYSTERY CASE Primary immunodeficiency disorders

Volume 33 Number 1
  • ISSN : 1609-3607



Dear Dr Spur, could you kindly help us with this difficult case: Tshepo is a 7 year old boy who was recently admitted in our hospital with pneumonia. The mother reports recurrent episodes of rhinorrhoea, cough and shortness of breath since the age of 18 months. On clinical examination the patient looked chronically ill: he was stunted, there was finger clubbing and the chest appeared hyperinflated. On auscultation, there were coarse crepitations and wheezing bilaterally. Because of the poor clinical condition, we performed a CT chest that demonstrated destruction of the left lower lobe and cylindrical bronchiectasis in the middle and right lower lobe.

Loading full text...

Full text loading...


Article metrics loading...


This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error