Table 1.
Patient characteristics of 11 children with CGD
| Age at CGD diagnosis (dx) |
Age at HSCT |
Gender | Ethnicity 1 |
Genetics | Stimulation Index (SI) at dx |
Pre-HSCT Infections (isolation;age at diagnosis) |
Comorbidities | HSCT Type/ Risk |
Outcome Post-HSCT |
|
|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 2 weeks | 30 mos | M | C |
X-linked gp91phox |
2 |
S. aureus Otitis (Culture; 2 yrs ) |
Molluscuma, URTI associated wheezinga |
MRD |
-Mixed chimerism |
| 2 | 14 months | 45 mos | M | C |
X-linked gp91phox |
2 |
Burkholderia cepacia Pneumonia (Lung bx; 11 mos ) |
Asthmaa,b, Pulmonary nodulesa,b |
MUD |
-Skin grade 1 aGvHD |
| 3 | 8 months | 41 mos | F | H |
AR gp67phox |
1 |
Serratia Marcescens Osteomyelitis (Bone aspirate; 8 mos) |
Iron deficiency anemiaa, Transaminitisa, Chronic lung cystsa,b |
MRD * |
-Adenovirus in plasma (resolved w/o intervention) |
| 4 | 36 months | 8.3 years | M | H |
X-linked gp91phox |
1 |
Aspergillus species Pneumonia (Lung biopsy; 5 years) |
G tube for poor feedinga, Chronic pulmonary nodulesa,b, Asthmaa,b |
MUD * |
-CMV reactivation (Rx meds) -Aspergillus Pneumonia |
| 5 | 6 months | 11 mos | M | H |
X-linked gp91phox |
1 |
S. aureus Abcess (Surgical wound I&D; 6 mos) |
Perirectal abcessesa, Chronic diarrheaa |
MUD |
-Skin grade 1 aGvHD |
| 6 | 6 weeks | 6.4 years | F | A |
AR (no molecular testing)2 |
3 |
B. cepacia Pneumonia (Lung biopsy; 5 yrs) Aspergillus niger Pneumonia (Lung biopsy; 5.5 yrs) |
Neonatal HIV exposurea, Chronic cystic lung diseasea,b |
MUD * |
-EBV reactivation (resolved w/o intervention) |
| 7 | 4.5 years | 5.9 years | M | C |
X-linked gp91phox |
1 |
B. cepacia Osteomyelitis, Bacteremia (Bone I&D; 4.5 yrs) |
Weaknessa, Voriconazole sensitivitya, Chronic lung diseasea,b |
MUD * |
-AIHA tx with steroids po (14 months post HSCT) |
| 8 | 2.5 months | 18 mos | M | H |
X-linked (no molecular testing)2 |
2 |
Candida albicans Abcess & Bacteremia (Surgical I&D; 1 yr) |
Lymphadenitisa, Perirectal abcessa, Transaminitisa |
MRD * |
-CMV reactivation (Meds RX) -Mixed Chimerism |
| 9 | 9 months | 7.4 years | M | C |
X-linked (no molecular testing)2 |
1 |
B. gladioli Osteomyeletis (Bone biopsy; 5.8yrs) |
Hearing lossa,b, Eosinophilic cystitisa, Drug induced lupusa |
MUD |
-Skin grade 1 aGvHD |
| 10 | 3 weeks | 50 mos | M | C |
X-linked gp91phox |
1 |
Serratia marcescens Liver Abcess (Liver biopsy; 2 weeks) Aspergillus fumigatus Pneumonia (Lung biopsy;1 mo) |
CGD colitisa, Transaminitisa, Asthmaa,b |
MRD * |
-Skin grade 1 aGvHD -Busulfan related seizures -Adenovirus of stool ( resolved w/o intervention) |
| 11 | 2.5 months | 13 years | M | C |
X-linked ( negative molecular testing, negative sequencing)2 |
1 |
Presumed Aspergillus Pneumonia (Lung biopsy with hyphae; 8 yrs ); S.Aureus Perirectal Abcess (Surgical I&D; 10 yrs) |
Perirectal abcessa, Recurrent lymph- adenitisa, Chronic pulmonary nodulesa,b |
MUD * |
-Hashimoto’s Thyroiditis (17 months post HSCT) |
1: C =Caucasian, H= Hispanic, A=African American
2: Pt #6 had no molecular testing and no family history of CGD. Pts # 8, 9, 11 all had mothers with NBT findings consistent with X-linked carrier status with 2 populations of granulocytes (normal and poor oxidative burst). Pt#9 with younger brother with demise at 1 year of age with B. cepacia and granulomas in liver/lungs. Pt#11 with negative CYBB/CYBA mutations and full sequencing did not identify a known CGD associated mutation.
Comorbidities pre HSCT
Comorbidities post HSCT
High risk patients (ongoing treatement/prophylaxis for known infections and/or significant pulmonary inflammation by imaging: ongoing granulomas)
URTI (Upper Respiratory Tract Infection)
AIHA (Autoimmune Hemolytic Anemia)