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"<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Good's syndrome: Case report" "tieneTextoCompleto" => true "saludo" => "Dear Editor," "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "309" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Lucía Ordieres-Ortega, Guillermo Soria Fernández-Llamazares, Nuria Gabarró-López" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Lucía" "apellidos" => "Ordieres-Ortega" "email" => array:1 [ 0 => "lucia.oomere@gmail.com" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Guillermo" "apellidos" => "Soria Fernández-Llamazares" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Nuria" "apellidos" => "Gabarró-López" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Medicina Interna, Hospital General Universitario Gregorio Marañón, Madrid, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Facultad de Medicina, Universidad Complutense de Madrid, Madrid, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Síndrome de Good: presentación de un caso" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Good's syndrome (GS), first described in 1954, is defined by the presence of thymoma together with hypogammaglobulinaemia,<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> and results in T-cell immunodeficiency and B-cell dysfunction.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Due to this immune dysfunction, patients with GS develop opportunistic infections by multiple microorganisms, including <span class="elsevierStyleItalic">S. pneumoniae</span>, <span class="elsevierStyleItalic">H. influenza</span>, <span class="elsevierStyleItalic">K. pneumoniae</span>, <span class="elsevierStyleItalic">Pneumocystis</span>, cytomegalovirus, varicella zoster, or nontuberculous mycobacteria.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Patients with GS have a peak incidence of infections between the fifth and sixth decade of life.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">It has been suggested in the literature that infections are probably the most frequent cause of hospitalization in these patients, mainly due to encapsulated pathogens. Gastrointestinal infections, mainly due to <span class="elsevierStyleItalic">Salmonella</span> spp., <span class="elsevierStyleItalic">Campylobacter</span> and <span class="elsevierStyleItalic">Clostridium difficile</span> can lead to chronic diarrhoea and malnutrition.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> In addition, more than half of patients with thymoma develop autoimmune manifestations, such as pure red cell aplasia, hypothyroidism, systemic lupus erythematosus, Sjögren's syndrome, leukopenia, or myasthenia gravis.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">We report the case of a 68-year-old woman, admitted to internal medicine with a 3-day history of fever, with associated cough and dyspnoea. In addition, she reported severe weakness, weight loss and arthralgias during the previous month.</p><p id="par0025" class="elsevierStylePara elsevierViewall">A computed tomography (CT) of the thorax was performed, where a 5<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>3.2<span class="elsevierStyleHsp" style=""></span>cm pericardial mass in contact with the right atrium was observed, in addition to multiple supraclavicular, paratracheal and prevascular lymphadenopathies.</p><p id="par0030" class="elsevierStylePara elsevierViewall">On the sixth day after admission the patient suddenly deteriorated, developing acute respiratory failure requiring orotracheal intubation with ventilatory support and transfer to the intensive care unit. A bronchial aspirate culture showed positive results for <span class="elsevierStyleItalic">Mycobacterium tuberculosis</span>, <span class="elsevierStyleItalic">Aspergillus fumigatus</span> and <span class="elsevierStyleItalic">Aspergillus terreus</span>. The polymerase chain reaction (PCR) of the sample was also positive for <span class="elsevierStyleItalic">Pneumocystis jirovecii</span> and <span class="elsevierStyleItalic">M. tuberculosis</span>. Given the results, a biopsy of one of the supraclavicular lymphadenopathies was performed, which confirmed the presence of tuberculous lymphadenitis. In addition, a cytomegalovirus (CMV) PCR on a peripheral blood sample detected 431 copies/mL of this virus.</p><p id="par0035" class="elsevierStylePara elsevierViewall">Treatment with ganciclovir, sulfamethoxazole-trimethoprim, prednisone, voriconazole, and first-line anti-tuberculosis treatment was started. The immunological study showed absolute lymphopenia with low B and T cell, CD4 and CD8 counts, in addition to hypogammaglobulinemia with IgG4 deficiency and severe hypocomplementemia. Treatment with intravenous immunoglobulins was started and a thymectomy was performed with histological diagnosis of B2 thymoma.</p><p id="par0040" class="elsevierStylePara elsevierViewall">The patient's course was favourable, and she was discharged without complications.</p><p id="par0045" class="elsevierStylePara elsevierViewall">Less than 5 cases of GS with mycobacteria have been described in the literature, so this case could help to expand the scarce available evidence about this entity.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p><p id="par0050" class="elsevierStylePara elsevierViewall">The most widely accepted treatment of GS includes thymectomy and corticosteroid therapy. However, the syndrome may persist despite this treatment, with repeated recurrent infections. This is what will ultimately define the patient's prognosis.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a></p><p id="par0055" class="elsevierStylePara elsevierViewall">Treatment of infections is mainly focused on antimicrobial therapy. However, the administration of intravenous immunoglobulins has been reported to be effective as prophylaxis if the patient has persistent hypogammaglobulinaemia.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> The degree of immune dysfunction seems to correlate with the severity of the infections.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a></p><p id="par0060" class="elsevierStylePara elsevierViewall">GS is an underdiagnosed entity for which there is little evidence. However, it should be suspected in all patients with thymoma and recurrent infections, since early diagnosis and treatment are important to prevent complications and avoid recurrent infections as much as possible,<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> especially considering that the prognosis is usually poor.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a></p><p id="par0065" class="elsevierStylePara elsevierViewall">In those patients with GS associated with myasthenia gravis, the prognosis seems to be somewhat better, since the symptoms of myasthenia gravis lead to an earlier diagnosis of thymoma and, therefore, early treatment.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a></p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0070" class="elsevierStylePara elsevierViewall">No funding has been received for the writing of this paper.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Ordieres-Ortega L, Soria Fernández-Llamazares G, Gabarró-López N. Síndrome de Good: presentación de un caso. Med Clin (Barc). 2021;156:312–313.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A bad case of Good’s syndrome" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "R. Tachdjian" 1 => "J.J. Keller" 2 => "M. Pfeffer" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s40121-014-0045-7" "Revista" => array:6 [ "tituloSerie" => "Infect Dis Ther." "fecha" => "2014" "volumen" => "3" "paginaInicial" => "333" "paginaFinal" => "337" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25287948" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Good syndrome, bad problem" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "B. Martinez" 1 => "S.K. Browne" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3389/fonc.2020.00307" "Revista" => array:6 [ "tituloSerie" => "Front Oncol." "fecha" => "2014" "volumen" => "10" "numero" => "4" "paginaInicial" => "307" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32211332" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Good’s syndrome patients hospitalized for infections: a single-center retrospective study" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "X. Sun" 1 => "J. Shi" 2 => "M. Wang" 3 => "K. Xu" 4 => "Y. Xiao" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1097/MD.0000000000002090" "Revista" => array:6 [ "tituloSerie" => "Medicine (Baltimore)." "fecha" => "2015" "volumen" => "94" "numero" => "47" "paginaInicial" => "e2090" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26632723" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Good’s syndrome-association of the late onset combined immunodeficiency with thymoma: review of literature and case report" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M. Tavakol" 1 => "S.A. Mahdaviani" 2 => "M.R. Ghaemi" 3 => "M. Vaezi" 4 => "A. Dorudinia" 5 => "H. Jamaati" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Iran J Allergy Asthma Immunol." "fecha" => "2018" "volumen" => "17" "numero" => "1" "paginaInicial" => "85" "paginaFinal" => "93" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29512373" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Good’s syndrome with opportunistic infection of the central nervous system: a case report" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "S. Ueno" 1 => "S. Sekimoto-Tsuboi" 2 => "Y. Ishiguro" 3 => "T. Koinuma" 4 => "H. Eguchi" 5 => "Y. Machida" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1186/s12883-015-0406-1" "Revista" => array:5 [ "tituloSerie" => "BMC Neurol." "fecha" => "2015" "volumen" => "15" "paginaInicial" => "150" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26303293" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000015600000006/v1_202103200954/S2387020621000632/v1_202103200954/en/main.assets" "Apartado" => array:4 [ "identificador" => "43309" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letters to the Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000015600000006/v1_202103200954/S2387020621000632/v1_202103200954/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020621000632?idApp=UINPBA00004N" ]
Journal Information
Vol. 156. Issue 6.
Pages 309 (March 2021)
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Vol. 156. Issue 6.
Pages 309 (March 2021)
Letter to the Editor
Good's syndrome: Case report
Síndrome de Good: presentación de un caso
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