首页    期刊浏览 2024年07月19日 星期五
登录注册

文章基本信息

  • 标题:A case report of chronic granulomatous disease presenting with aspergillus pneumonia in a 2-month old girl
  • 本地全文:下载
  • 作者:Lee, Eun ; Oh, Seak Hee ; Kwon, Ji Won
  • 期刊名称:Korean Journal of Pediatrics
  • 印刷版ISSN:1738-1061
  • 出版年度:2010
  • 卷号:53
  • 期号:6
  • 页码:722-726
  • DOI:10.3345/kjp.2010.53.6.722
  • 语种:English
  • 出版社:The Korean Pediatric Society
  • 摘要:

    Chronic granulomatous disease (CGD) is an uncommon inherited disorder caused by mutations in any of the genes encoding subunits of the superoxide-generating phagocyte NADPH oxidase system, which is essential for killing catalase producing bacteria and fungi, such as Aspergillus species, Staphylococcus aureus , Serratia marcescens , Nocardia species and Burkholderia cepacia . In case of a history of recurrent or persistent infections, immune deficiency should be investigated. Particularly, in the case of uncommon infections such as aspergillosis in early life, CGD should be considered. We describe here a case of CGD that presented with invasive pulmonary aspergillosis in a 2-month-old girl. We confirmed pulmonary aspergillosis noninvasively through a positive result from the culture of bronchial alveolar lavage fluid, positive serological test for Aspergillus antigen and radiology results. She was successfully treated with Amphotericin B and recombinant IFN-γ initially. Six weeks later after discharge, she was readmitted for pneumonia. Since there were infiltrates on the right lower lung, which were considered as residual lesions, voriconazole therapy was initiated. She showed a favorable response to the treatment and follow-up CT showed regression of the pulmonary infiltrates.

  • 关键词:Chronic granulomatous disease; Aspergillosis; Pneumonia; BAL culture; Amphotericin B; Voriconazole; Infant
国家哲学社会科学文献中心版权所有