Giardia Lamblia in Pediatrics — 4yo Child | Pediatric Infectious | SMLE Q#15616

SMLE Question #15616

Pediatrics Pediatric Infectious

Objective: OBJ-113

A 4-year-old boy is brought to the clinic for evaluation of recurrent infections. Over the past 2 years, he has had approximately 6 episodes of sinopulmonary infections and multiple episodes of gastroenteritis, including more than 4 documented infections with Giardia lamblia. His older brother died 5 months ago from sepsis at age 6. On examination, no lymph nodes are palpable in the cervical, axillary, or inguinal regions, and his tonsils are not visible. Which of the following is the most likely diagnosis?

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