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Scott H. Sicherer, MD; Jerry A. Winkelstein, MD

JAMA. 1998;279:58-61.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

CASE PRESENTATION

A 35-year-old woman with pneumococcal bacteremic pneumonia was admitted to her local hospital in 1986. Her initial hospital course was complicated by respiratory insufficiency, disseminated intravascular coagulation, and renal failure, and she was transferred to The Johns Hopkins Hospital for further evaluation and management.

Her medical history was notable for multiple episodes of bronchitis and otitis media in childhood, and a tonsillectomy and adenoidectomy at age 16 years. At age 29 years, she began to experience multiple episodes of sinusitis, a chronic productive cough, and frequent diarrhea. She also had 2 episodes of pneumonia; one, at age 33 years, required hospitalization for intravenous antibiotics to treat Streptococcus pneumoniae, which had been isolated from a sputum culture. During the year preceding her 1986 admission, she developed dyspnea on exertion and intermittent diarrhea and lost 13.5 kg. She had to quit her job and . . . [Full Text of this Article]

DISCUSSION

Common Variable Immunodeficiency

Primary Immunodeficiency Diseases in Adults

Disorders in Which Adult Onset Is Common

Delayed Presentation of a Disorder Typical of Childhood

Disorders With Childhood Onset and Survival Into Adulthood

CONCLUSION

From Eudowood Division of Immunology, Department of Pediatrics, The Johns Hopkins Hospital, Baltimore, Md.

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