Successful Unrelated Cord Blood Stem Cell Transplantation in an X-linked Chronic Granulomatous Disease Patient with Disseminated BCG-induced Infection

A 19-month-old boy with chronic granulomatous disease (CGD) received umbilical cord blood transplantation (UCBT) from an unrelated donor after experiencing a life-threatening disseminated Bacillus Calmette–Guérin infection. After busulfan and cyclophosphamide conditioning, we performed a 5/6-matched...

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Main Authors: Chao-Jen Lin, Shih-Chung Wang, Cheng-Lung Ku, Jun-kai Kao, Ming Chen, Chin-San Liu
Format: Article
Language:English
Published: Elsevier 2015-10-01
Series:Pediatrics and Neonatology
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Online Access:http://www.sciencedirect.com/science/article/pii/S1875957213000703
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author Chao-Jen Lin
Shih-Chung Wang
Cheng-Lung Ku
Jun-kai Kao
Ming Chen
Chin-San Liu
author_facet Chao-Jen Lin
Shih-Chung Wang
Cheng-Lung Ku
Jun-kai Kao
Ming Chen
Chin-San Liu
author_sort Chao-Jen Lin
collection DOAJ
description A 19-month-old boy with chronic granulomatous disease (CGD) received umbilical cord blood transplantation (UCBT) from an unrelated donor after experiencing a life-threatening disseminated Bacillus Calmette–Guérin infection. After busulfan and cyclophosphamide conditioning, we performed a 5/6-matched UCBT. Engraftment and mixed chimerism was 100% in peripheral blood, and 100% of his neutrophils had normal oxidative burst activity on day 17. The patient is now 3 years old, free from infection, and growing well. To our knowledge, this is the second case of CGD treated with UCBT in Taiwan. His successful outcome illustrates that UCBT in a patient with CGD should be considered early if a human leukocyte antigen-matched donor is not available or the patient has just recovered from a severe infection.
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series Pediatrics and Neonatology
spelling doaj-art-1f227b8ef26c4cbbb4ae7bfd615af17a2025-08-20T01:59:01ZengElsevierPediatrics and Neonatology1875-95722015-10-0156534635010.1016/j.pedneo.2013.04.001Successful Unrelated Cord Blood Stem Cell Transplantation in an X-linked Chronic Granulomatous Disease Patient with Disseminated BCG-induced InfectionChao-Jen Lin0Shih-Chung Wang1Cheng-Lung Ku2Jun-kai Kao3Ming Chen4Chin-San Liu5Department of Pediatrics, Changhua Christian Children's Hospital, Changhua, Taiwan, ROCDepartment of Pediatrics, Changhua Christian Children's Hospital, Changhua, Taiwan, ROCGraduate Institute of Clinical Medical Science, Chang-Gung University, Tao-Yuan, Taiwan, ROCDepartment of Pediatrics, Changhua Christian Children's Hospital, Changhua, Taiwan, ROCCenter for Medical Genetics, Changhua Christian Children's Hospital, Changhua, Taiwan, ROCVascular and Genomic Center, Changhua Christian Children's Hospital, Changhua, Taiwan, ROCA 19-month-old boy with chronic granulomatous disease (CGD) received umbilical cord blood transplantation (UCBT) from an unrelated donor after experiencing a life-threatening disseminated Bacillus Calmette–Guérin infection. After busulfan and cyclophosphamide conditioning, we performed a 5/6-matched UCBT. Engraftment and mixed chimerism was 100% in peripheral blood, and 100% of his neutrophils had normal oxidative burst activity on day 17. The patient is now 3 years old, free from infection, and growing well. To our knowledge, this is the second case of CGD treated with UCBT in Taiwan. His successful outcome illustrates that UCBT in a patient with CGD should be considered early if a human leukocyte antigen-matched donor is not available or the patient has just recovered from a severe infection.http://www.sciencedirect.com/science/article/pii/S1875957213000703chronic granulomatous disease (CGD)disseminated Bacillus Calmette–Guérin (BCG) infectionumbilical cord blood transplantation (UCBT)
spellingShingle Chao-Jen Lin
Shih-Chung Wang
Cheng-Lung Ku
Jun-kai Kao
Ming Chen
Chin-San Liu
Successful Unrelated Cord Blood Stem Cell Transplantation in an X-linked Chronic Granulomatous Disease Patient with Disseminated BCG-induced Infection
Pediatrics and Neonatology
chronic granulomatous disease (CGD)
disseminated Bacillus Calmette–Guérin (BCG) infection
umbilical cord blood transplantation (UCBT)
title Successful Unrelated Cord Blood Stem Cell Transplantation in an X-linked Chronic Granulomatous Disease Patient with Disseminated BCG-induced Infection
title_full Successful Unrelated Cord Blood Stem Cell Transplantation in an X-linked Chronic Granulomatous Disease Patient with Disseminated BCG-induced Infection
title_fullStr Successful Unrelated Cord Blood Stem Cell Transplantation in an X-linked Chronic Granulomatous Disease Patient with Disseminated BCG-induced Infection
title_full_unstemmed Successful Unrelated Cord Blood Stem Cell Transplantation in an X-linked Chronic Granulomatous Disease Patient with Disseminated BCG-induced Infection
title_short Successful Unrelated Cord Blood Stem Cell Transplantation in an X-linked Chronic Granulomatous Disease Patient with Disseminated BCG-induced Infection
title_sort successful unrelated cord blood stem cell transplantation in an x linked chronic granulomatous disease patient with disseminated bcg induced infection
topic chronic granulomatous disease (CGD)
disseminated Bacillus Calmette–Guérin (BCG) infection
umbilical cord blood transplantation (UCBT)
url http://www.sciencedirect.com/science/article/pii/S1875957213000703
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