TY - CHAP M1 - Book, Section TI - Immunodeficiency A1 - Abbott, Jordan K. A1 - Dutmer, Cullen M. A1 - Hauk, Pia J. A2 - Bunik, Maya A2 - Hay, William W. A2 - Levin, Myron J. A2 - Abzug, Mark J. Y1 - 2022 N1 - T2 - Current Diagnosis & Treatment: Pediatrics, 26e AB - Immunodeficiency is a physiologic state in which the immune system succumbs to microbiologic exposures typically controlled by members of the nonimmunodeficient population. This state can be transient or persistent, in-born or acquired, and it can result from dysfunction of one or multiple components of the immune system. The infectious manifestations of immunodeficiency arise from a failure to prevent, clear, limit the spread, or suppress a microorganism that would typically be controlled in one of the modes of defense. Clinical manifestations therefore include infection with an unusual microorganism, greater extent of spread of an infection, persistent infection, recurrent infection, and the associated inflammatory consequences of these scenarios. Since infections in immunodeficiency are dependent on a relevant microbiologic exposure, it is possible that immunodeficiency can remain undiagnosed; however, careful consideration of associated features, family history, immunosuppressive medications, and laboratory findings can hasten the diagnosis and possibly prevent a severe infection or other complication. As a result, it is important that physicians be aware of clues that could lead to a prompt diagnosis. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1190368494 ER -