system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 2-year-old boy is brought to the emergency department because of fever, fatigue, and productive cough for 2 days. He had similar symptoms 6 months ago, when he was diagnosed with pneumonia. Three weeks ago, he was diagnosed with otitis media for the sixth time since his birth and was treated with amoxicillin. His temperature is 38.7°C (101.7°F), pulse is 130/min, respirations are 36/min, and blood pressure is 84/40 mm Hg. Pulse oximetry on room air shows an oxygen saturation of 93%. Examination shows purulent discharge in the left ear canal and hypoplastic tonsils without exudate. Coarse crackles are heard over the right lung field on auscultation. An x-ray of the chest shows a right middle lobe consolidation. Flow cytometry shows absent B cells and normal T cells. Which of the following is the most appropriate next step in management?
assistant
Intravenous immunoglobulins