Clinical course of concurrent lymphocytic interstitial pneumonia and common variable immunodeficiency*1

2004 ◽  
Vol 113 (2) ◽  
pp. S122
Author(s):  
E SCANNELL
2010 ◽  
pp. 3431-3434
Author(s):  
D.J. Hendrick

Case History—A 37 yr old woman with common variable immunodeficiency, now presenting with a 6-week history of breathlessness and productive cough. Many disorders are associated with lymphocytic infiltration of the lung, but there is a spectrum of conditions in which such infiltration is the chief focus of attention, ranging from benign (e.g. lymphocytic interstitial pneumonia) to malignant (e.g. lymphoma)....


2015 ◽  
Vol 1 ◽  
pp. 83-90 ◽  
Author(s):  
Anna Pituch-Noworolska ◽  
Maciej Siedlar ◽  
Danuta Kowalczyk ◽  
Anna Szaflarska ◽  
Anita Błaut-Szlósarczyk ◽  
...  

2021 ◽  
pp. 194187442110502
Author(s):  
Hernan Nicolas Lemus ◽  
Miryam Alkayyali ◽  
Eonjung Kim ◽  
Charlotte Cunnigham-Rundles ◽  
Dewitt Pyburn ◽  
...  

The role of the adaptive immune system in mediating COVID-19 is largely unknown. Therefore, it is difficult to predict the clinical course in patients with common variable immunodeficiency (CVID), a disease characterized by dysfunctional lymphocytes and impaired antibody production. We report a case of SARS-CoV-2 infection presenting as isolated neurological symptoms in a patient with CVID. The patient subsequently improved following steroids, intravenous immunoglobulin, and convalescent plasma (CP). The latter has been shown to be safe and efficacious in treating COVID-19 in patients with primary immunodeficiency. Recent data suggest that the mechanism of CNS injury in COVID-19 may be due to immunological dysregulation rather than direct viral-mediated injury. This case exemplifies the complex interaction between the brain, the immune system, and the SARS-CoV-2 virus.


2021 ◽  
Author(s):  
Debendra Pattanaik ◽  
Shaunah Ritter ◽  
Joseph Fahhoum

Abstract Background We present a case of CVID complicated by granulomatous interstitial lung disease (GLILD). This patient clinical course was further complicated by COVID-19 infection. This is only the 2nd known case report of COVID 19 in CVID with GLILD. The clinical course and outcome of COVID 19 infection with common variable immunodeficiency (CVID) and GLILD is not well known. Case presentation: Our patient met the clinical features of CVID secondary to low IgG/IgA, recurrent infections, and failure to respond to pneumococcal vaccination. He was treated with monthly maintenance IVIG therapy. Our patient also was diagnosed with co-existing GLILD that despite IVIG treatment was progressing. The patient needed to be started on Rituxan and Mycophenolate Mofetil to achieve control but unfortunately became infected with COVID19 delaying his treatment for GLILD. Our patient only suffered from mild COVID 19 infection and was able to make antibodies to this. We believe severe infection was avoided as his CVID was well controlled with IVIG therapy despite progression of his granulomatous interstitial lung disease. Conclusion In conclusion, our patient with CVID with co-existing biopsy proven granulomatous interstitial lung disease despite being very high risk for severe COVID 19 infection only had mild infection. This was believed to be due to well controlled CVID with IVIG therapy.


2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Debendra Pattanaik ◽  
Shaunah Ritter ◽  
Joseph Fahhoum

Abstract Background We present a case of CVID complicated by granulomatous interstitial lung disease (GLILD). This patient clinical course was further complicated by COVID-19 infection. This is only the 2nd known case report of COVID 19 in CVID with GLILD. The clinical course and outcome of COVID 19 infection with common variable immunodeficiency (CVID) and GLILD is not well known. Case presentation Our patient met the clinical features of CVID secondary to low IgG/IgA, recurrent infections, and failure to respond to pneumococcal vaccination. He was treated with monthly maintenance IVIG therapy. Our patient also was diagnosed with co-existing GLILD that despite IVIG treatment was progressing. The patient needed to be started on Rituxan and Mycophenolate mofetil to achieve control but unfortunately became infected with COVID19 delaying his treatment for GLILD. Our patient only suffered from mild COVID 19 infection and was able to make antibodies to this. We believe severe infection was avoided as his CVID was well controlled with IVIG therapy despite progression of his granulomatous interstitial lung disease. Conclusion In conclusion, our patient with CVID with co-existing biopsy proven granulomatous interstitial lung disease despite being very high risk for severe COVID 19 infections only had mild infection. This was believed to be due to well controlled CVID with IVIG therapy.


Praxis ◽  
2007 ◽  
Vol 96 (1) ◽  
pp. 3-11
Author(s):  
Suter-Meyer ◽  
Nigg ◽  
Kolyvanos Naumann ◽  
Käser ◽  
Vetter

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