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Reminder of important clinical lesson
CASE REPORT
Disseminated Pseudomonas aeruginosa sepsis as presenting diagnosis of X-linked agammaglobulinaemia in a previously well 16-month-old child
  1. Naveen Kumar Bhardwaj,
  2. Daisy Khera,
  3. Neeraj Gupta,
  4. Kuldeep Singh
  1. Department of Pediatrics, All India Institute of Medical Sciences Jodphur, Jodhpur, Rajasthan, India
  1. Correspondence to Dr Daisy Khera, pushpinderdaisy{at}gmail.com

Summary

We report a previously healthy 16-month-old child who presented to us with membranous pharyngitis and ecthyma gangrenosum. In this patient, Pseudomonas aeruginosa was isolated from throat swab, cerebrospinal fluid, skin swab, urine, blood and synovial fluid in a single admission. In further workup, this child was diagnosed as a case of X-linked agammaglobulinaemia. The child was treated successfully with antipseudomonal antibiotics for 6 weeks and intravenous immunoglobulin.

  • infectious diseases
  • immunology
  • paediatrics

https://doi.org/10.1136/bcr-2017-221006

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    Footnotes

    • Contributors NKB and DK were involved in the conception and design of the manuscript, drafting the article and revising it critically for important intellectual content and final approval of the version published and agreed to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved. NG and KS were involved in the conception and design of the manuscript and revising it critically for important intellectual content and final approval of the version published and agreed to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved.

    • Competing interests None declared.

    • Patient consent Obtained from guardian.

    • Provenance and peer review Not commissioned; externally peer reviewed.