A One- Month- Old Child Was Evaluated for Repeated Respiratory

question 24

Multiple Choice

A one- month- old child was evaluated for repeated respiratory infections, diarrhea, and failure to th On physical exam, it appeared that the child was missing her tonsils. Laboratory results were as foll What is the most likely diagnosis?

White blood count 5302/uL
White blood cell differential 90% neutrophils, 5% monocytes, 2% eosinophils, 3% lymphocytes
Serum protein electrophoresis—profoundly low gamma globulin

• A)DiGeorge syndrome
• B)Bruton's agammaglobulinemia
• C)Chronic granulomatous disease
• D)Job's syndrome
• E)Severe combined immunodeficiency disorder

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