Selective immunoglobulin M deficiency in an adult with miliary tuberculosis: a clinically interesting coexistence: a case report and review of the literature

Selective immunoglobulin M [SIgM] deficiency is a rare form of dysgammaglobulinemia. Here we are reporting a 31 year old man with multiple cervical and testicular abscesses who was investigated and found to have miliary tuberculosis [MTB] with primary SIgM deficiency [Serum IgM: 17.4 mg/dL] and was treated aggressively with anti-tuberculous treatment