Choudhury Saiara, Papineni Sudhakar, Ramachandruni Srikanth, Molina Jurairat, Surani Salim
Internal Medicine, Corpus Christi Medical Center, Corpus Christi, USA.
Internal Medicine, University of North Texas, Dallas, USA.
Cureus. 2021 Mar 11;13(3):e13827. doi: 10.7759/cureus.13827.
Good's syndrome is a rare, adult-onset immunodeficiency syndrome associated with thymomas. Here, we present a 71-year-old, previously healthy male with a history of opportunistic infections status post-thymectomy, who presented with a septic knee complicated with bacteremia without any inciting factor. Therefore, a diagnosis of Good syndrome was made. While this is a rare disease, clinicians should have a high suspicion in patients with a history of thymoma. Early diagnosis and treatment can reduce opportunistic infections and improve morbidity and mortality.
古德综合征是一种与胸腺瘤相关的罕见的成人发病免疫缺陷综合征。在此，我们报告一名71岁、既往健康的男性，有胸腺切除术后机会性感染病史，因无任何诱发因素出现膝关节脓毒症并发菌血症。因此，诊断为古德综合征。虽然这是一种罕见疾病，但临床医生对有胸腺瘤病史的患者应高度怀疑。早期诊断和治疗可减少机会性感染，改善发病率和死亡率。
