Table 1.
Immune disorder | Causes | Typical microorganisms |
---|---|---|
Neutrophil disorders | ||
Neutropenia | Drugs (chemotherapy, azathioprine, methotrexate, carbimazole, sulphonamides) Leukaemia AIDS Felty's syndrome Aplastic anaemia Early haematopoietic stem cell transplantation (HSCT) |
Gram-positive bacilli (Staphylococcus aureus, streptococci) Gram-negative bacilli Fungi (Aspergillus sp. Candida sp., non-Aspergillus filamentous fungi) |
Neutrophil chemotaxis | Diabetes mellitus Cirrhosis Sarcoidosis Drugs (glucocorticoids, amphotericin B) |
Staph. aureus Streptococci Candida sp. Zygomycosis |
Neutrophil phagocytosis | Chronic granulomatous disease Myeloproliferative disorders Inherited phagocyte defects |
Staph. aureus Nocardia sp. Gram-negative bacilli Fungi (Aspergillus sp. Candida sp., non-Aspergillus filamentous fungi) |
T-cell mediated immunity | AIDS Lymphoma HSCT Solid organ transplantation Drugs (T-cell depleting antibodies, glucocorticoids, ciclosporin, tacrolimus) |
Herpesviruses, Respiratory viruses Pneumocystis jirovecii Endemic mycoses e.g. Histoplasma capsulatum, Cryptococcus Parasites (Strongyloides, Toxoplasma) Mycobacteria Nocardia Legionella pneumophila |
B-cell mediated/antibody deficiency | Multiple myeloma Plasmapheresis Drugs (anti-B cell therapies) HSCT Chronic lymphocytic leukaemia Lymphoma Multiple myeloma |
Encapsulated bacteria (e.g. Streptococcus pneumoniae, Haemophilus influenzae) Herpesviruses |
Other | ||
Complement deficiency | Congenital Acquired (systemic lupus erythematosus, anorexia nervosa) |
Encapsulated bacteria (e.g. Strep. pneumoniae, H. influenzae) Staph. aureus |
Asplenia | Splenectomy Sickle cell disease |
Encapsulated bacteria (e.g. Strep. pneumoniae, H. influenzae) Staph. aureus |