Thursday, 7 January 2016

Pneumococcal Pneumonia Clinical Case MCQ


8-month boy baby is evaluated because of repeated episodes of pneumococcal pneumonia. Serum studies demonstrate very low levels of 1gM, IgG, and IgA. This is related to a deficiency of which of the following? 

A. Adenosine deaminase 
B. Class III MHC gene 
C. Gamma chain of the IL-2 receptor 
D. Tyrosine kinase

Ans.D.  Tyrosine kinase

As the history is of recurrent infections with bacteria pneumococcal pneumonia. , it indicates primary humoral immunodeficiency. As this is occurring in an 8-month old male child, it indicates X-linked agammaglobulinemia also called as Burton’s agammaglobulinemia. In this disorder there is deficiency of the enzyme tyrosine kinase, which is required for B cell maturation