Turning walking pneumonia into recurrent abscesses: a curious case of CVID and review of the literature

Abstract Background Common variable immunodeficiency (CVID) is a primary immunodeficiency disorder associated with a broad symptom presentation that is still being characterized. We report a rare case of recurrent mycoplasma skin abscesses in a patient with a history of autoimmune disorders and prol...

Full description

Bibliographic Details
Main Authors: David X. Gao, Habiba Hussain, Brianna Bobber, Peter Phan
Format: Article
Language:English
Published: BMC 2022-04-01
Series:Allergy, Asthma & Clinical Immunology
Subjects:
Online Access:https://doi.org/10.1186/s13223-022-00673-3
_version_ 1819045184406552576
author David X. Gao
Habiba Hussain
Brianna Bobber
Peter Phan
author_facet David X. Gao
Habiba Hussain
Brianna Bobber
Peter Phan
author_sort David X. Gao
collection DOAJ
description Abstract Background Common variable immunodeficiency (CVID) is a primary immunodeficiency disorder associated with a broad symptom presentation that is still being characterized. We report a rare case of recurrent mycoplasma skin abscesses in a patient with a history of autoimmune disorders and prolonged mycoplasma pneumonia who was diagnosed with CVID. Case presentation A 34-year-old woman presented with a history of recurrent abscesses previously confirmed positive for Mycoplasma pneumoniae. Her past medical history of recurrent mycoplasma abscesses, prolonged mycoplasma pneumonia, and autoimmune disorders (mixed connective tissue disease and immune thrombocytopenia) raised suspicion of CVID. Workup included negative anti-mycoplasma antibody titers, hypogammaglobulinemia, and negative anti-pneumococcal antibody titers despite prior vaccination, solidifying the diagnosis of CVID. The patient was discharged on antibiotic and intravenous immunoglobulin therapy and now follows allergy and immunology long-term for treatment. Conclusions Her diagnostic history underscores the importance of considering the various criteria of CVID for diagnosis, and her unique presentation of M. pneumoniae skin abscesses highlights the broad sequelae patients with CVID can manifest.
first_indexed 2024-12-21T10:24:32Z
format Article
id doaj.art-2b1e2a6aaca348a8a66801d913832e3d
institution Directory Open Access Journal
issn 1710-1492
language English
last_indexed 2024-12-21T10:24:32Z
publishDate 2022-04-01
publisher BMC
record_format Article
series Allergy, Asthma & Clinical Immunology
spelling doaj.art-2b1e2a6aaca348a8a66801d913832e3d2022-12-21T19:07:20ZengBMCAllergy, Asthma & Clinical Immunology1710-14922022-04-011811510.1186/s13223-022-00673-3Turning walking pneumonia into recurrent abscesses: a curious case of CVID and review of the literatureDavid X. Gao0Habiba Hussain1Brianna Bobber2Peter Phan3University of Illinois College of MedicineUniversity of Illinois College of MedicineUniversity of Illinois College of MedicineUniversity of Illinois College of MedicineAbstract Background Common variable immunodeficiency (CVID) is a primary immunodeficiency disorder associated with a broad symptom presentation that is still being characterized. We report a rare case of recurrent mycoplasma skin abscesses in a patient with a history of autoimmune disorders and prolonged mycoplasma pneumonia who was diagnosed with CVID. Case presentation A 34-year-old woman presented with a history of recurrent abscesses previously confirmed positive for Mycoplasma pneumoniae. Her past medical history of recurrent mycoplasma abscesses, prolonged mycoplasma pneumonia, and autoimmune disorders (mixed connective tissue disease and immune thrombocytopenia) raised suspicion of CVID. Workup included negative anti-mycoplasma antibody titers, hypogammaglobulinemia, and negative anti-pneumococcal antibody titers despite prior vaccination, solidifying the diagnosis of CVID. The patient was discharged on antibiotic and intravenous immunoglobulin therapy and now follows allergy and immunology long-term for treatment. Conclusions Her diagnostic history underscores the importance of considering the various criteria of CVID for diagnosis, and her unique presentation of M. pneumoniae skin abscesses highlights the broad sequelae patients with CVID can manifest.https://doi.org/10.1186/s13223-022-00673-3Common variable immunodeficiencyMycoplasma
spellingShingle David X. Gao
Habiba Hussain
Brianna Bobber
Peter Phan
Turning walking pneumonia into recurrent abscesses: a curious case of CVID and review of the literature
Allergy, Asthma & Clinical Immunology
Common variable immunodeficiency
Mycoplasma
title Turning walking pneumonia into recurrent abscesses: a curious case of CVID and review of the literature
title_full Turning walking pneumonia into recurrent abscesses: a curious case of CVID and review of the literature
title_fullStr Turning walking pneumonia into recurrent abscesses: a curious case of CVID and review of the literature
title_full_unstemmed Turning walking pneumonia into recurrent abscesses: a curious case of CVID and review of the literature
title_short Turning walking pneumonia into recurrent abscesses: a curious case of CVID and review of the literature
title_sort turning walking pneumonia into recurrent abscesses a curious case of cvid and review of the literature
topic Common variable immunodeficiency
Mycoplasma
url https://doi.org/10.1186/s13223-022-00673-3
work_keys_str_mv AT davidxgao turningwalkingpneumoniaintorecurrentabscessesacuriouscaseofcvidandreviewoftheliterature
AT habibahussain turningwalkingpneumoniaintorecurrentabscessesacuriouscaseofcvidandreviewoftheliterature
AT briannabobber turningwalkingpneumoniaintorecurrentabscessesacuriouscaseofcvidandreviewoftheliterature
AT peterphan turningwalkingpneumoniaintorecurrentabscessesacuriouscaseofcvidandreviewoftheliterature