[Severe Combined Immune Deficiency Syndrome [SCIDS] associated with Coarctation of Aorta and Patent Ductus Arteriosus: a case report]

ABSTRACT

A 25-month old male baby was brought to the emergency room with a clinical picture of septic shock. He had the history of hospitalization during the neonatal period because of pneumonia and heart failure. At that time coarctation of aorta and patent ductus arteriosus was diagnosed. Later in life he had frequently pneumonia, gastroenteritis, urinary tract infection, otitis media, recurrent sepsis, chronic oropharyngeal candidasis, local abscess at the site of BCG vaccination, and multiple draining lymphadenopathies in the left axilla, supraclavicular [the same side of BCG vaccination] and sub mundibular areas. Prolonged mumps parotitis, multiple sores in his mouth and anal area and abscesses in this region. At 5 months of age he underwent the surgical operation for correction of coarctation. Finally, with the diagnosis of [SCID], he was receiving intravenous immune globulin monthly. The results of all tests, particularly cultures were negative. Despite therapeutic measures the patient expired . We suspected viremia as the likely cause of his problem. The most interesting finding in this case was the unusual association between the SCID and the coarctation of the aorta and patent ductus arteriosus[PDA], as far as we are aware, a similar case is not reported in the literature as yet