Bruton's agammaglobulinaemia in a child presenting with cryptococcal empyema thoracis and periauricular pyogenic abscess.
We describe here a case of cryptococcal empyema thoracis and periauricular pyogenic abscess in a child with Bruton's agammaglobulinaemia. The cryptococcal empyema thoracis was treated with intravenous amphotericin B and intravenous fluconazole for six weeks followed by oral fluconazole. The pyogenic periauricular abscess was surgically drained and treated with intravenous ceftazidime and cloxacillin for two weeks. He also received monthly intravenous immunoglobulin.
Wahab
J A
JA
Department of Paediatrics, School of Medical Sciences, Hospital Universiti Sains Malaysia, Kelantan, Malaysia.
Hanifah
M J
MJ
Choo
K E
KE
D000038:Abscess / Q000175:diagnosis* / Q000628:therapy; D000361:Agammaglobulinemia / Q000175:diagnosis* / Q000628:therapy; D000666:Amphotericin B / Q000008:administration & dosage; D002442:Ceftazidime / Q000008:administration & dosage; D002675:Child, Preschool; D003023:Cloxacillin / Q000008:administration & dosage; D003131:Combined Modality Therapy; D003453:Cryptococcosis / Q000175:diagnosis* / Q000628:therapy; D016724:Empyema, Pleural / Q000175:diagnosis* / Q000628:therapy; D015725:Fluconazole / Q000008:administration & dosage; D006801:Humans; D007116:Immunization, Passive; D008297:Male; D009894:Opportunistic Infections / Q000175:diagnosis* / Q000628:therapy; D010032:Otitis Externa / Q000175:diagnosis* / Q000628:therapy
D000666:Amphotericin B; D015725:Fluconazole; D002442:Ceftazidime; D003023:Cloxacillin