Simultaneous Streptococcus Pneumoniae,Giardia Lamblia and Campylobacter Pylori Infection: An Adult Presentation of X-Linked Hypogammaglobulinaemia

Abstract

Primary X-linked (Bruton's) hypogammaglobulinaemia is uncommon. It usually presents clinically within the first two years of life — Typically after the age of three months when maternal IgG is exhausted.¹ Its diagnosis in middle life is exceptional. The presentation of the condition as a triple infection in a middle-aged man therefore seemed worthwhile reporting, as effective and safe prophylactic immunotherapy is now available.

Keywords

Hypogammaglobulinaemia giardiasis immunotherapy intravenous gammaglobulin (IV IgG)

Get full access to this article

View all access options for this article.

References

Webster

ADB

. Immune deficiency. Oxford Textbook of Medicine 1987; 1;475–477.

Yap

. The use of intravenous immunoglobulin for the treatment of infection; an overview. J of Infection 1987; 15; 21–28.

Wolfe

. Giardiasis. N Eng J Med 1978; 298: 319–321.

Bodey

Fanistein

Guerrant

Infections of the gastro-intestinal tract in the immunocompromised patient. Ann Rev Med 1986; 37: 271–281.

Leen

GLS

Birch

ADJ

Brettle

Welsby

Yap

. Salmonella in patients with primary hypogammaglobulinaemia. J of Infection 1986; 12;241–245.

Liodna

McNulty

. Campylobacter pyloritis — Associated gastritis. J of Infection 1986; 13;107–113.