Smarties

ZR Hyper-IgM

  • Onset of symptoms

    Fever, weight loss, anaemia and oro-pharyngeal ulceration
  • Diagnosis

    CD40L deficiency confirmed
  • Initiation of IVIG and Bactrim

    IVIG and Bactrim
  • Steroids added

  • IVIG dose increased

  • LBO and NGT feeds commenced

  • GCSF started

  • Coombs positive haemolytic anaemia

  • Epididymitis

  • HSCT work up