Good Syndrome, a rare disease that physicians cannot afford to overlook; Case report and review of literature

Good syndrome (thymoma with immunodeficiency) is a rare cause of immunodeficiency.1 there is a combined b and t cell immunodeficiency with hypogammaglobulinemia, reversal of the cd4/cd8 ratio and reduced or absent b cells causing an increased susceptibility to bacterial, viral and fungal infections. it is classified as a primary immunodeficiency,2 and patients usually present with recurrent infections or a mediastinal mass.3 the infrequency with which it is encountered makes good syndrome a diagnostic challenge.