Disseminated @entity4595 in an adult with common variable XXXX .

@entity1 @entity1353 @entity55 @entity6078 @entity465 @entity4595 @entity1576 @entity7893 @entity221
@entity465 ( @entity465 ) are traditionally considered childhood diseases; however, adults account for 35% of all @entity1 with @entity465 . @entity465 , especially @entity6078 ( @entity6078 ), which have their peak incidence in adulthood, require a high suspicion index. Even though the estimated frequency of @entity6078 is not high (1:25,000), high rates of under diagnosis and under reporting are very likely. The delay in diagnosis increases the morbidity and mortality; therefore, adult physicians should be able to suspect, identify and initiate management of individuals with @entity465 . Here we report the case of a 37 year-old @entity1 presenting to the emergency room with @entity1353 , @entity221 and cough; he developed @entity1576 requiring mechanical ventilation. He complained of recurring @entity55 associated with widespread @entity4595 since he was 18 years old. Serum immunoglobulins quantification showed severe @entity7893 (total IgG <140 mg/dL; total IgA, 2.9 mg/dL; and total IgM <5 mg/dL). Treatment with @entity1 Intravenous Immunoglobulin (IVIG) 10% was started, and with antibiotic treatment for severe @entity55 (during 14 days) was also prescribed. His clinical evolution has been favorable after one year follow-up. @entity6078 ( @entity6078 ) diagnosis was made.
