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Abstract

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Article in Japanese

Case Report

A case of Good syndrome diagnosed upon treatment of pneumonia accompanied by hypogammaglobulinemia

Kei Sonehara  Akemi Matsuo 

Department of Respiratory Medicine, Minaminagano Medical Center, Shinonoi General Hospital

ABSTRACT

The patient was an 82-year-old female in whom an anterior mediastinal mass had been pointed out one year and five months earlier. The patient visited our hospital for the chief complaints of fever and coughing. She was diagnosed with influenza A and pneumococcal pneumonia and treated with anti-influenza and antimicrobial drugs, but fever persisted and the respiratory condition did not improve. Hypogammaglobulinemia was observed after several days, immunoglobulin was additionally administered, and the infections improved. A CT-guided needle biopsy of the anterior mediastinal tumor was performed at a later date. The pathological finding was thymoma, and the patient was diagnosed with Good syndrome. We report the case of this rare disease, which was diagnosed upon the treatment of pneumonia.

KEYWORDS

Good syndrome  Thymoma  Hypogammaglobulinemia 

Received 15 Dec 2016 / Accepted 22 May 2017

AJRS, 6(5): 355-358, 2017

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