Table 1.
Type of immune defect according to disease/treatment and range of pathogens commonly associated with infections in patients with this type of immune defect
| 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  |