Good's Syndrome with a Block in the Early Stage of B Cell Differentiation and Complicated by Campylobacter fetus Sepsis

Kohichi YAMAZAKI; Naomi WATANABE; Atsushi HASEGAWA; Etsuro YAMAGUCHI; Kenji MIYAMOTO; Yukio SAKIYAMA; Yoshikazu KAWAKAMI

doi:10.2169/internalmedicine.33.496

Good's Syndrome with a Block in the Early Stage of B Cell Differentiation and Complicated by Campylobacter fetus Sepsis

Kohichi YAMAZAKI, Naomi WATANABE, Atsushi HASEGAWA, Etsuro YAMAGUCHI, Kenji MIYAMOTO, Yukio SAKIYAMA, Yoshikazu KAWAKAMI

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Keywords: thymoma, immunodeficiency, hypoimmunoglobulinemia, pure B cell failure

JOURNAL FREE ACCESS

1994 Volume 33 Issue 8 Pages 496-500

DOI https://doi.org/10.2169/internalmedicine.33.496

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Abstract

A 63-year-old man was admitted for Campylobacter fetus sepsis and immunodeficiency syndrome with thymoma (Good's syndrome). Serological examination demonstrated hypoimmunoglobulinemia. Analysis of lymphocyte subsets in the peripheral blood and bone marrow showed marked decreases in the proportion of cells bearing B cell markers. However, there were no abnormalities of cellular immunity. This is a rare case of Good's syndrome in Japan in which the pathogenic mechanism involved a block in the early stage of B cell differentiation. Moreover, this is the first case ever reported of Campylobacter fetus sepsis associated with Good's syndrome.
(Internal Medicine 33: 496-500, 1994)

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