AI Article Synopsis
- Good syndrome (GS) is a rare immunodeficiency disorder linked to thymoma and low antibody levels, leading to frequent infections, as highlighted in a case study of a 37-year-old man with multiple lung infections.
- The patient, who had his thymoma surgically removed, underwent various treatments that successfully improved his health, backed by advanced genetic testing for pathogen detection.
- A review of 98 case reports from 2000 to 2023 emphasizes the importance of monitoring immunoglobulin levels in thymoma patients for early GS detection, and recommends targeted therapies and regular IVIG injections to help reduce infection rates.
Article Abstract
Good syndrome (GS), a rare acquired immunodeficiency disorder characterized by thymoma and hypogammaglobulinemia, predisposes individuals to recurrent infections. This study reports a case of a 37-year-old male GS with multiple pulmonary infections and reviews relevant literature. The patient, with a history of thymoma resection, experienced multiple hospitalizations due to lung infections and neutropenia. The alveolar lavage fluid was detected by macro-genomic sequencing (NGS) to detect multiple pathogens, and targeted anti-infective and immunity-enhancing treatments led to improved symptoms and normal neutrophil counts. A literature review of 98 case reports from 2000 to 2023 was conducted, summarizing the associated diseases and pathogens in GS patients. Regular immunoglobulin monitoring in thymoma patients is essential for early GS diagnosis. When empirical antimicrobial therapy fails, mNGS for pathogen detection and targeted therapy are crucial, and regular IVIG injections can reduce infection rates in GS patients.
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| http://dx.doi.org/10.1007/s12026-024-09528-y | DOI Listing |
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