A Five- Year- Old Child Presents with Repeated Sinus Infections

question 32

Multiple Choice

A five- year- old child presents with repeated sinus infections due to Hemophilus influenzae and Streptococcus pneumoniae. On physical exam, the child appeared to have scoliosis and was not well developed for his age. He also appeared to have an inflammatory skin condition. Laboratory results as follows. What is the most likely diagnosis?

Complete blood count—red cells, white cells and platelets within normal limits
WBC differential—50% neutrophils, 30% lymphocytes, 15% eosinophils, 5% monocytes
Serum protein electrophoresis—within normal limits
Urinalysis—within normal limits
serum IgG—within normal limits
serum IgA—within normal limits
serum IgM—within normal limits
serum IgE —100 times the upper limit of normal

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

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Definitions:

Trust

Confidence in the reliability, integrity, and abilities of individuals or institutions, instrumental in facilitating cooperation and social cohesion.

Negotiation Process

The series of steps or stages involved in attempting to reach an agreement between two or more parties with differing objectives.

Outline Goals

Preliminary or skeletal goals that provide a general direction without detailing the steps necessary to achieve them.

Merger

The combination of two or more companies into a single entity, with the aim of enhancing competitiveness or expanding market share.