A 4-month old baby was recently hospitalized with septicemia and now has a severe diaper rash. Which primary immunodeficiency disorder does the nurse suspect?
A.
Antibody deficiency: B-cell disorder
B.
Combined deficiency: T- and B-cell disorder
C.
Complement defect disorder
D.
Phagocyte defect disorder
ANS: B
Combined deficiency: T- and B-cell disorder usually manifests before 6 months of age and includes severe infections such as meningitis and septicemia, diaper dermatitis, and opportunistic infections. Antibody deficiencies are usually seen after 6 months of age. Complement defect disorder is often accompanied by autoimmune diseases. Phagocyte defect disorders include impetigo, mouth ulcers, suppurative adenitis, osteomyelitis, and poor wound healing.
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