GOODS SYNDROME:REPORT OF CASE

Good?s syndrome is defined by the association of thymoma, hypogammaglobulinemia and recurrent infections especially bronchopulmonary and sinus. We report the case of a 53 years old man , with a history of recurrent respiratory infections, hospitalized in June 2017 for bronchial syndrome dragging with radiographic front chest presence of bilateral alveolar syndrome and lat?rotrach?ale opacity right, supplemented by a thoracic scan, which objectified the chance discovery of a regular meditational tissue mass without locoregional malignancy, with no clinical and electrophysiological signs of myasthenia gravis. The patient was operated for his m?diatisnal mass which histological study was in favor of a thymoma type A, the outcome was favorable. In our patient the association between thymoma and hypogammaglobulinemia and bronchopulmonary infection severe and recurrent led to the diagnosis of Good\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\'s syndrome. The patient was put under appropriate antibiotic therapy combined with weekly infusions of intravenous immunoglobulin, with a positive trend, achieving significant clinical improvement, biological and radiological. Good?s syndrome represents only 5% of parathymiques diseases, but its research is essential because it allows effective treatment of infections, avoiding lung destruction and the use of lung surgery.