Table 1.
Patients | X‐CGD variants | Date of birth | Date of diagnosis | Severe clinical signs | Minor clinical signs | Actual treatments |
---|---|---|---|---|---|---|
P1 | X91– | 12/22/13 | 01/20/15 | – | Multiple abscessed skin lesions, splenomegaly | Prophylactic a |
P2 | X910 | 11/18/12 | 09/24/14 | Prolonged fever | Inflammatory syndrome, xanthogranuloma (Serratia marcescens), tonsil adenophlegmon (Staphylococcus aureus), microcytic anemia due to martial deficiency, diarrhea, vomiting, rotavirus gastroenteritis | Prophylactic a |
P3 | X910 | 03/10/09 | 02/01/2012 | Sepsis, hepato‐splenomegaly hepatic granuloma | Pallor, pustulosis, inflammatory syndrome, bloody diarrhea (Enterococcus faecium), multiple necrotic adenopathies (S. marcescens), hepatic cytolysis and cholestasis, failure to thrive | Prophylactic a |
P4a b | X91– | 02/04/86 | 10/18/2012 | – | Mild childhood asthma, at teenage recurrent perianal abscesses, treated for Crohn disease, nose infection (S. aureus) | Prophylactic a |
P4b a | 1988 | 2012 postmortem | Aspergillus pneumonitis | – | – | |
P5 | X910 | 07/29/12 | 04/01/14 | Pulmonary abscesses (S. constellatus) | Neonatal pustular melanosis, eosinophilic pancolitis, maculo‐papular skin rash | Engraftment at 3 years of age. Joint chronic graft‐versus‐host disease. Complete chimerism |
P6 | X910 | 03/13/09 | 04/28/09 | Severe sepsis, three outbreaks of pneumonia | – | Prophylactic a |
P7 | X910 | 06/20/16 | 06/22/17 | – | Cervical adenitis, febrile (S. aureus), papular lesions, fungal infections in the penis, hypothermia, cyanosis | Prophylactic a |
P8 | X910 | 12/08/15 | 05/19/16 | Hepatic abcesses | Fever, inflammatory syndrome, rotavirus gastroenteritis, cervical adenopathies, granuloma of the tonsil, perforated acute otitis, ileitis | Recent engraftment (HLA id.) with infectious complications and viral reactivation, persistent diarrhea 6 months post‐transplant |
P9 | X910 | 10/28/12 | 06/02/14 | Prolonged fever, liver abscesses | – | Engraftment at 3 years of age, complete chimerism |
In good health | ||||||
P10 | X910 | 09/02/18 | 12/18/18 | Bacteremia (S. aureus) | Reccurent suppurative inguinal (S. aureus) | Prophylactic a |
P11 | X910 | 10/14/14 | 03/15/17 | Mycobacterium bovis infection | Recurrent suppurative lymphadenitis, pneumonia, other pulmonary bacterial infections | Prophylactic a |
P12 | X910 | 01/30/86 | 06/24/87 | Sepsis (S. typhimurium), pulmonary aspergillosis | Suppurative inguinal adenopathies (Candida albicans), furonculosis (Klebsiella pneumoniae), cervical adenopathy (Streptoccocus), balano‐prepucial fistula, recurrent cold sores | Prophylactic a |
P13 | X910 | 09/07/13 | 07/20/16 | Abscess of the mediastinum, bacteremia, bacterial pneumonia, suspected Noonan syndrome | Cervical lymphadenitis, BCGitis | Prophylactic a |
P14 | X910 | 02/16/83 | 12/02/10 | Bone infection (Aspergillus sp.) treated by laminectomy, permanent respiratory failure (restrictive and obstructive) | Peritonsillar abcess | Prophylactic a corticotherapy, hydroxychloroquine, amethopterine, permanent oxygenotherapy |
P15 | X91+ | 12/19/03 | 09/20/09 | Prolonged fever, pulmonary abcess | Cervical adenopathy, BCGititis, abscess of the anal margin, acute appendicitis, diarrhea, chronic inflammation syndrome | Prophylactic a |
P16 | X910 | 01/21/13 | 06/30/16 | Liver abcesses | Cervical adenitis | Engraftment at 16 months years of age, acute intestinal graft versus host disease. Bronchiolitis obliterans syndrome, complete chimerism |
Trimethoprim‐sulfamethoxazole and itraconazole
P4a and P4b are brothers. P4b died aged 24 years. At that time CGD diagnosis was performed for him and his brother P4a.
Dead patient.
Patients with new mutations are shown in bold type.
HLA = human leucocyte antigen; CGD = chronic granulomatous disease; – = absence of clinical signs.