Open AccessRecurrent episodes of pneumonia in a toddler: Don't forget chronic granulomatous disease
Author(s) -
Alkesh Khurana,
Abhishek Goyal,
Ujjawal Khurana,
Bhavna Dhingra
Publication year - 2019
Publication title -
journal of family medicine and primary care
Language(s) - English
Resource type - Journals
eISSN - 2278-7135
pISSN - 2249-4863
DOI - 10.4103/jfmpc.jfmpc_29_19
Subject(s) - medicine , monocytosis , hepatosplenomegaly , chronic granulomatous disease , pneumonia , toddler , cervical lymphadenopathy , histiocyte , bone marrow , pathology , granulomatous disease , granuloma , disease , immunology , psychology , developmental psychology
A 4-year-old boy presented with community acquired pneumonia, hepatosplenomegaly and bilateral cervical lymphadenopathy. The peripheral blood film showed significant monocytosis and bone marrow examination revealed multiple histiocytic granulomas. Presence of CD 68 positive granulomas supported by cytological findings enabled us to make a diagnosis of chronic granulomatous disease.