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Case Reports in Hematology
Volume 2013 (2013), Article ID 153767, 5 pages
http://dx.doi.org/10.1155/2013/153767
Case Report

More Common Than You Think: Common Variable Immune Deficiency

1Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA
2Hematology Division, The Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA
3Department of Oncology, The Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA
4The Institute for Cellular Engineering, The Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA
5The Johns Hopkins University School of Medicine, Ross Research Building, Room 1025, 720 Rutland Avenue, Baltimore, MD 21205, USA

Received 19 July 2013; Accepted 30 September 2013

Academic Editors: M. C. Kyrtsonis and B. Longo-Mbenza

Copyright © 2013 Abimbola Aderinto et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report a challenging case of a 16-year-old male who presented with thrombocytopenia and eluded a definitive diagnosis for over 2 years. He was initially diagnosed with a viral illness, although he later developed adenopathy and splenomegaly. An evaluation by an oncologist was unrevealing. He worked on a farm with livestock exposure and was later diagnosed with an atypical, zoonotic infection. Despite appropriate antibiotic therapy, the thrombocytopenia and splenomegaly persisted. Further evaluation revealed that he has a relatively common immunologic disorder. He is currently doing well on appropriate therapy for this disorder.