title: Simultaneous Streptococcus pneumoniae, Giardia lamblia and Campylobacter pylori infection: an adult presentation of X-linked hypogammaglobulinaemia.
abstract: Primary X-linked (Bruton's) hypogammaglobulinaemia is uncommon. It usually presents clinically within the first two years of life--typically after the age of three months when maternal IgG is exhausted. Its diagnosis in middle life is exceptional. The presentation of the condition as a triple infection in a middle-aged man therefore seemed worthwhile reporting, as effective and safe prophylactic immunotherapy is now available.
authors.affiliation: Infection Unit City Hospital, Aberdeen.
authors.forename: D
authors.initials: D
authors.lastname: Nathwani
authors.forename: A J
authors.initials: AJ
authors.lastname: Morris
authors.forename: C C
authors.initials: CC
authors.lastname: Smith
mesh_terms: D000361:Agammaglobulinemia / Q000150:complications* / Q000235:genetics / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002169:Campylobacter Infections / Q000150:complications* / Q000188:drug therapy; D005873:Giardiasis / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D007074:Immunoglobulin G / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D011014:Pneumonia / Q000150:complications* / Q000188:drug therapy; D013290:Streptococcal Infections / Q000150:complications* / Q000188:drug therapy
chemical_list: D000900:Anti-Bacterial Agents; D007074:Immunoglobulin G