DOI: 10.12890/2021_002557

Diagnostic and Management Errors in an Immunodeficient Patient with Pneumococcal Pneumonia with Bacteraemia due to Incorrect Assessment of the Patient’s Immune Status

Authors

  • Takahiro Ito Department of Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital, Mibu, Tochigi, Japan
  • Yukinori Harada Department of Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital, Mibu, Tochigi, Japan
  • Taro Shimizu Department of Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital, Mibu, Tochigi, Japan

yuki.gym23@gmail.com

Keywords

Immunoglobulin M deficiency, osteomyelitis, pneumococcal bacteraemia

Abstract

A 79-year-old woman presented with fever and pleural chest pain. Based on the assessment of mild community pneumonia in an immunocompetent patient, outpatient follow-up was planned. However, the patient was admitted several hours later with a diagnosis of pneumococcal pneumonia with bacteraemia. In addition, selective immunoglobulin M deficiency was detected. In this case, although a history of recurrent osteomyelitis was provided, the physicians overlooked the information suggesting immunodeficiency, which led to an incorrect diagnostic and management decision. Obtaining the past medical history is essential, but utilizing it is even more important to avoid clinical decision-making errors.

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References

  1. Gupta S, Gupta A. Defining primary selective IgM deficiency. J Clin Immunol 2019;39:350–352.
  2. Gupta S, Gupta A. Selective IgM deficiency—an underestimated primary immunodeficiency. Front Immunol 2017;8:1056.
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  4. Oliveira JB, Fleisher TA. Laboratory evaluation of primary immunodeficiencies. J Allergy Clin Immunol 2010;125:S297–S305.

Published

2021-04-26

Issue

Vol. 8 No. 4 (2021)

How to Cite

1.
Ito T, Harada Y, Shimizu T. Diagnostic and Management Errors in an Immunodeficient Patient with Pneumococcal Pneumonia with Bacteraemia due to Incorrect Assessment of the Patient’s Immune Status. EJCRIM [Internet]. 2021 Apr. 26 [cited 2026 Nov. 4];8(4). Available from: https://ejcrim.com/index.php/ejcrim/article/view/2557

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