title: A case of long-undiagnosed common Primary Immunodeficiency in adulthood.
abstract: Common Variable Immunodeficiency (CVID) is one of the most common causes of Primary Immunodeficiency Disorders (PIDs) and of Primary Hypogammaglobulinemia in adulthood. Clinical features include variable combinations of infectious diseases, autoimmune diseases, lymphoproliferative disorders and gastrointestinal diseases. In this case report, delayed detection of the disease had a negative prognostic impact, despite prompt antibiotic and replacement therapy. The unfavourable prognosis was due to multi-organ failure (namely lungs, heart and liver) and to a number of chronic and acute infectious diseases.
authors.affiliation: Medicina Interna, Ospedale Cervesi di Cattolica (AUSL Romagna), via Beethoven 1, 47841 Cattolica (RN), Italy E-mail: danitirotta@libero.it.
authors.forename: D
authors.initials: D
authors.lastname: Tirotta
authors.affiliation: Medicina Interna, Ospedale Cervesi di Cattolica (AUSL Romagna), via Beethoven 1, 47841 Cattolica (RN), Italy E-mail: vdurante@auslrn.net.
authors.forename: V
authors.initials: V
authors.lastname: Durante
mesh_terms: D000368:Aged; D002908:Chronic Disease; D017074:Common Variable Immunodeficiency / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D003141:Communicable Diseases / Q000209:etiology; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use; D008214:Lymphocytes / Q000276:immunology / Q000473:pathology; D008297:Male; D009102:Multiple Organ Failure / Q000209:etiology; D011379:Prognosis
chemical_list: D016756:Immunoglobulins, Intravenous
keywords: Common Variable Immunodeficiency; Immunodeficiency; Primary Immunodeficiency Disorders