04-03-2007, 05:42 PM
A 15-year-old girl, who up to now had been receiving poor medical care, is brought to the emergency department because of "a sinus infection". The caregiver states that she has been coughing and has had a fever for the last few days. She continues to state, that to the best of her knowledge, the child has had recurrent infections her whole life. Chest radiographs reveal pneumonia with bronchiectasis. Physical examination is unusual in that dextrocardia is present. Initial blood tests reveal an elevated white count. Functional assays on the white cells are within normal limits. Which of the following is the most likely diagnosis?
(A) Chronic granulomatous disease
(B) Kartagener syndrome
© Leukocyte adhesion deficiency
(D) Selective IgA deficiency
(E) Wegner granulomatosis
(A) Chronic granulomatous disease
(B) Kartagener syndrome
© Leukocyte adhesion deficiency
(D) Selective IgA deficiency
(E) Wegner granulomatosis