Authors: Somnath Bhattacharya, Saurabh Karmakar
Bronchiectasis in the era of high-resolution computerized tomography scan has become a common respiratory manifestation with varied etiology. Among exhaustive list of etiologies, common variable immunodeficiency disorder (CVID) is an uncommon cause for bronchiectasis. Thereby, leading to under detection, lack of suspicion and eventually delayed treatment. Though the prevalence of bronchiectasis remains high in patients with CVID, it usually presents late. In day to day clinical practice primary immunodeficiency is not suspected usually and hence workup lacks for this cause of bronchiectasis. CVID patients besides recurrent infections also exhibits various extrapulmonary manifestations. So, we report to generate awareness through this case of a young boy who presented with bronchiectasis due to CVID complicated by COP (Cryptogenic Organizing Pneumonia) or GLILD (Granulomatous lymphocytic interstitial lung disease) and Tubercular pleural effusion. He was treated with intravenous immunoglobulin and antitubercular therapy and responded well. Keywords: Common variable immunodeficiency disorder, Cryptogenic Organizing pneumonia, Granulomatous lymphocytic interstitial lung disease, Tubercular pleural effusion, Immunoglobulin therapy.
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