Case #10 - Respiratory Failure in a 7-Month-Old Black Female

Authors: Sabina Ali, MD; Rosa A Vidal, MD; Sheryl Falkos, MDSeries Editors: Rosa A Vidal, MD; Sheryl Falkos, MD

Disclosures

June 23, 2004

Additional Diagnostic Studies

The following evaluations were performed due to severe failure to thrive and history of multiple infections:

Serology negative for hepatitis A, B, and C, as well as for HIV, cytomegalovirus, Epstein-Barr virus, and Mycoplasma pneumoniae. Stool positive for fat

Thyroid studies: within normal limits

Sweat chloride 95 mmol/L (normal range, 0-40 mmol/L)

Immunoglobulin G 1330mg/dL (normal range, 217-904 mg/dL)

Immunoglobulin A 124mg/dL (normal range 11-90 mg/dL)

Immunoglobulin E 160 IU/ml (normal range 0.76-7.31 IU/ml)

Immunoglobulin M 114mg/dL (normal range 34-126 mg/dL)

CD4:CD8 ratio = 2.9

  • Echocardiogram: No cardiac abnormalities

  • Cranial ultrasound: Diffuse brain atrophy with widening of subarachnoid space

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