Necrotizing Liver Granuloma/Abscess and Constrictive Aspergillosis Pericarditis with Central Nervous System Involvement: Different Remarkable Phenotypes in Different Chronic Granulomatous Disease Genotypes

Chronic granulomatous disease (CGD) is a primary immune deficiency causing predisposition to infections with specific microorganisms, Aspergillus species and Staphylococcus aureus being the most common ones. A 16-year-old boy with a mutation in CYBB gene coding gp91phox protein (X-linked disease) de...

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Main Authors: Sanem Eren Akarcan, Neslihan Karaca, Guzide Aksu, Halil Bozkaya, Mehmet Fatih Ayik, Yasemin Ozdemir Sahan, Mehmet Arda Kilinc, Zafer Dokumcu, Cenk Eraslan, Emre Divarci, Hudaver Alper, Necil Kutukculer
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Immunology
Online Access:http://dx.doi.org/10.1155/2017/2676403
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author Sanem Eren Akarcan
Neslihan Karaca
Guzide Aksu
Halil Bozkaya
Mehmet Fatih Ayik
Yasemin Ozdemir Sahan
Mehmet Arda Kilinc
Zafer Dokumcu
Cenk Eraslan
Emre Divarci
Hudaver Alper
Necil Kutukculer
author_facet Sanem Eren Akarcan
Neslihan Karaca
Guzide Aksu
Halil Bozkaya
Mehmet Fatih Ayik
Yasemin Ozdemir Sahan
Mehmet Arda Kilinc
Zafer Dokumcu
Cenk Eraslan
Emre Divarci
Hudaver Alper
Necil Kutukculer
author_sort Sanem Eren Akarcan
collection DOAJ
description Chronic granulomatous disease (CGD) is a primary immune deficiency causing predisposition to infections with specific microorganisms, Aspergillus species and Staphylococcus aureus being the most common ones. A 16-year-old boy with a mutation in CYBB gene coding gp91phox protein (X-linked disease) developed a liver abscess due to Staphylococcus aureus. In addition to medical therapy, surgical treatment was necessary for the management of the disease. A 30-month-old girl with an autosomal recessive form of chronic granulomatous disease (CYBA gene mutation affecting p22phox protein) had invasive aspergillosis causing pericarditis, pulmonary abscess, and central nervous system involvement. The devastating course of disease regardless of the mutation emphasizes the importance of early diagnosis and intervention of hematopoietic stem cell transplantation as soon as possible in children with CGD.
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id doaj-art-24d93c2176d04286a3a9f9ed8b080c6c
institution Kabale University
issn 2090-6609
2090-6617
language English
publishDate 2017-01-01
publisher Wiley
record_format Article
series Case Reports in Immunology
spelling doaj-art-24d93c2176d04286a3a9f9ed8b080c6c2025-02-03T05:46:39ZengWileyCase Reports in Immunology2090-66092090-66172017-01-01201710.1155/2017/26764032676403Necrotizing Liver Granuloma/Abscess and Constrictive Aspergillosis Pericarditis with Central Nervous System Involvement: Different Remarkable Phenotypes in Different Chronic Granulomatous Disease GenotypesSanem Eren Akarcan0Neslihan Karaca1Guzide Aksu2Halil Bozkaya3Mehmet Fatih Ayik4Yasemin Ozdemir Sahan5Mehmet Arda Kilinc6Zafer Dokumcu7Cenk Eraslan8Emre Divarci9Hudaver Alper10Necil Kutukculer11Pediatric Immunology Department, Medical Faculty, Ege University, Izmir, TurkeyPediatric Immunology Department, Medical Faculty, Ege University, Izmir, TurkeyPediatric Immunology Department, Medical Faculty, Ege University, Izmir, TurkeyInterventional Radiology Department, Medical Faculty, Ege University, Izmir, TurkeyCardiovascular Surgery Department, Medical Faculty, Ege University, Izmir, TurkeyPediatric Cardiology Department, Medical Faculty, Ege University, Izmir, TurkeyPediatric Intensive Care Unit, Medical Faculty, Ege University, Izmir, TurkeyPediatric Surgery Department, Medical Faculty, Ege University, Izmir, TurkeyRadiology Department, Medical Faculty, Ege University, Izmir, TurkeyPediatric Surgery Department, Medical Faculty, Ege University, Izmir, TurkeyPediatric Radiology Department, Medical Faculty, Ege University, Izmir, TurkeyPediatric Immunology Department, Medical Faculty, Ege University, Izmir, TurkeyChronic granulomatous disease (CGD) is a primary immune deficiency causing predisposition to infections with specific microorganisms, Aspergillus species and Staphylococcus aureus being the most common ones. A 16-year-old boy with a mutation in CYBB gene coding gp91phox protein (X-linked disease) developed a liver abscess due to Staphylococcus aureus. In addition to medical therapy, surgical treatment was necessary for the management of the disease. A 30-month-old girl with an autosomal recessive form of chronic granulomatous disease (CYBA gene mutation affecting p22phox protein) had invasive aspergillosis causing pericarditis, pulmonary abscess, and central nervous system involvement. The devastating course of disease regardless of the mutation emphasizes the importance of early diagnosis and intervention of hematopoietic stem cell transplantation as soon as possible in children with CGD.http://dx.doi.org/10.1155/2017/2676403
spellingShingle Sanem Eren Akarcan
Neslihan Karaca
Guzide Aksu
Halil Bozkaya
Mehmet Fatih Ayik
Yasemin Ozdemir Sahan
Mehmet Arda Kilinc
Zafer Dokumcu
Cenk Eraslan
Emre Divarci
Hudaver Alper
Necil Kutukculer
Necrotizing Liver Granuloma/Abscess and Constrictive Aspergillosis Pericarditis with Central Nervous System Involvement: Different Remarkable Phenotypes in Different Chronic Granulomatous Disease Genotypes
Case Reports in Immunology
title Necrotizing Liver Granuloma/Abscess and Constrictive Aspergillosis Pericarditis with Central Nervous System Involvement: Different Remarkable Phenotypes in Different Chronic Granulomatous Disease Genotypes
title_full Necrotizing Liver Granuloma/Abscess and Constrictive Aspergillosis Pericarditis with Central Nervous System Involvement: Different Remarkable Phenotypes in Different Chronic Granulomatous Disease Genotypes
title_fullStr Necrotizing Liver Granuloma/Abscess and Constrictive Aspergillosis Pericarditis with Central Nervous System Involvement: Different Remarkable Phenotypes in Different Chronic Granulomatous Disease Genotypes
title_full_unstemmed Necrotizing Liver Granuloma/Abscess and Constrictive Aspergillosis Pericarditis with Central Nervous System Involvement: Different Remarkable Phenotypes in Different Chronic Granulomatous Disease Genotypes
title_short Necrotizing Liver Granuloma/Abscess and Constrictive Aspergillosis Pericarditis with Central Nervous System Involvement: Different Remarkable Phenotypes in Different Chronic Granulomatous Disease Genotypes
title_sort necrotizing liver granuloma abscess and constrictive aspergillosis pericarditis with central nervous system involvement different remarkable phenotypes in different chronic granulomatous disease genotypes
url http://dx.doi.org/10.1155/2017/2676403
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