Table A1. Features of 5 patients with Granulibacter bethesdensis infection*.
Patient no. | Age, y/sex | Country of origin | Radiographic findings | Pathologic findings (site) | Leukocytes, × 103 cells/μL† | ESR, mm/h† | Duration of signs and symptoms, wk‡ | Treatment§ | Recurrence |
---|---|---|---|---|---|---|---|---|---|
1 | 39/M | USA | Cervical, mediastinal lymphadenopathy; splenic lesions | Necrotizing granulomatous inflammation (cervical lymph nodes) | 11.3 | 90 | 20 | Meropenem; doxycycline; TMP/SMX; ceftriaxone | Relapse |
2 | 36/M | USA | Cervical, mediastinal, abdominal lymphadenopathy | Necrotizing granulomatous inflammation (perigastric lymph node) | 10.2 | 50 | 8 | TMP-SMX; meropenem; tobramycin; ceftriaxone; doxycycline; cefpodoxime; γ-interferon; tigecycline | Relapse |
3 | 13/M | USA | Cervical, mediastinal, lymphadenopathy | Lymphohistiocytic infiltrate (transtracheal lymph node biopsy specimen) | 5.9 | 44 | 4 | Ceftriaxone; tobramycin; doxycycline; cefdinir | Reinfection |
4 | 17/M | Panama | Cervical, mediastinal lymphadenopathy | Necrotizing granulomatous inflammation (cervical lymph node) | NA | NA | 8 | Doxycycline | No |
5 | 37/M | USA | Cervical, mediastinal lymphadenopathy; liver and splenic lesions | Necrotizing granulomatous inflammation (supraclavicular lymph node) | 7.3 | 55 | 16 | Ceftriaxone; gentamicin; doxycycline; TMP/SMX; cefdinir | No |
*All patients have X-linked chronic granulomatous disease. ESR, erythrocyte sedimentation rate; TMP/SMX, trimethoprim/sulfamethoxazole; NA, not available. †At time of patient visit or diagnosis of Granulibacter spp. infection at the National Institutes of Health, Bethesda, Maryland, USA. ‡From onset of symptoms to culture-confirmed infection; initial symptoms in those with recurrence. §Drugs used specifically for treatment of G. bethesdensis infection alone or in combination during the patient’s illness. Drugs in boldface were those for which the largest clinical response was observed in that patient.