A tale of a young boy with recurrent wheezing and uncommon bronchiectasis

Somnath Bhattacharya; Saurabh Karmakar

A tale of a young boy with recurrent wheezing and uncommon bronchiectasis

Case Report

Author Details : Somnath Bhattacharya*, Saurabh Karmakar

Volume : 5, Issue : 1, Year : 2020

Article Page : 60-64

https://doi.org/10.18231/j.ijirm.2020.013

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Abstract

Bronchiectasis in the era of high-resolution computerized tomography scan has become a common
respiratory manifestation with varied etiology. Among exhaustive list of etiologies, common variable
immunodeficiency disorder (CVID) is an uncommon cause for bronchiectasis. Thereby, leading to under
detection, lack of suspicion and eventually delayed treatment. Though the prevalence of bronchiectasis
remains high in patients with CVID, it usually presents late. In day to day clinical practice primary
immunodeficiency is not suspected usually and hence workup lacks for this cause of bronchiectasis.
CVID patients besides recurrent infections also exhibits various extrapulmonary manifestations. So, we
report to generate awareness through this case of a young boy who presented with bronchiectasis due to
CVID complicated by COP (Cryptogenic Organizing Pneumonia) or GLILD (Granulomatous lymphocytic
interstitial lung disease) and Tubercular pleural effusion. He was treated with intravenous immunoglobulin
and antitubercular therapy and responded well.

Keywords: Common variable immunodeficiency disorder, Cryptogenic Organizing pneumonia, Granulomatous lymphocytic
interstitial lung disease, Tubercular pleural effusion, Immunoglobulin therapy.

How to cite : Bhattacharya S, Karmakar S, A tale of a young boy with recurrent wheezing and uncommon bronchiectasis. IP Indian J Immunol Respir Med 2020;5(1):60-64

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