Problem:
A 14-year-old boy from another country without any consistent medical care presents for a complete history and physical exam. His mother reports that he is "always sick" with pneumonia or sinus infections. She reports that in one year, the patient had at least 4 episodes of pneumonia and a sinus infection every month. He was hospitalized twice with severe sinusitis requiring IV antibiotics. His sibling died at age 2 years from an unknown cause but was febrile at the time of his death and hospitalized for some type of infection. Physical exam reveals that the patient is underweight, with a palpable spleen, enlarged tonsils, and right tympanic membrane scarring with left tympanic membrane perforation without infection. Which diagnosis should the nurse practitioner consider in this patient? (THE NEXT QUESTION IS BASED ON THIS CASE SCENARIO) Group of answer choices A. Immunodeficiency B. Chronic sinusitis C. Severe asthma D. An autoimmune disorder