Selective immunoglobulin M (SIgM) deficiency is a rare form of dysgammaglobulinemia. Here we are reporting a 31 year old man with multiple cervical and testicular abscesses who was investigated and found to have miliary tuberculosis (MTB) with primary SIgM deficiency (Serum IgM: 17.4 mg/dL) and was treated aggressively with anti-tuberculous treatment.
Hassanein, H. A., & Elbadry, M. I. (2016). Selective immunoglobulin M deficiency in an adult with miliary tuberculosis: A clinically interesting coexistence. A case report and review of the literature. International Journal of Mycobacteriology, 5(1), 106–110. https://doi.org/10.1016/j.ijmyco.2015.11.002