Chronic Granulomatous Disease Presenting as Aseptic Ascites in a 2-Year-Old Child
Chronic granulomatous disease (CGD) is a rare inherited immunodeficiency syndrome that results from abnormal nicotinamide adenine dinucleotide phosphate (NADPH) oxidase function. This defect leads to recurrent catalase-positive bacterial and fungal infections as well as associated granuloma formatio...
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Published in | Case reports in immunology Vol. 2013; no. 2013; pp. 1 - 5 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
Cairo, Egypt
Hindawi Puplishing Corporation
01.01.2013
Hindawi Publishing Corporation Hindawi Limited |
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Abstract | Chronic granulomatous disease (CGD) is a rare inherited immunodeficiency syndrome that results from abnormal nicotinamide adenine dinucleotide phosphate (NADPH) oxidase function. This defect leads to recurrent catalase-positive bacterial and fungal infections as well as associated granuloma formation. We review the case of a 2-year-old boy who presented with ascites and fever of an unknown origin as manifestations of CGD. Cultures were negative for infection throughout his course, and CGD was suspected after identification of granulomas on peritoneal biopsy. Genetic testing revealed a novel mutation in the CYBB gene underlying his condition. This paper highlights the importance of considering CGD in the differential diagnosis of fever of unknown origin and ascites in children. |
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AbstractList | Chronic granulomatous disease (CGD) is a rare inherited immunodeficiency syndrome that results from abnormal nicotinamide adenine dinucleotide phosphate (NADPH) oxidase function. This defect leads to recurrent catalase-positive bacterial and fungal infections as well as associated granuloma formation. We review the case of a 2-year-old boy who presented with ascites and fever of an unknown origin as manifestations of CGD. Cultures were negative for infection throughout his course, and CGD was suspected after identification of granulomas on peritoneal biopsy. Genetic testing revealed a novel mutation in the CYBB gene underlying his condition. This paper highlights the importance of considering CGD in the differential diagnosis of fever of unknown origin and ascites in children. |
Author | Green, Todd D. Cassidy, Elaine A. Ozolek, John A. Venkat, Veena L. Buchert, Andrew R. Lin, P. Ling Moreau, J. F. |
AuthorAffiliation | 4 Division of Pulmonary Medicine, Allergy and Immunology, Children's Hospital of Pittsburgh of UPMC, One Children's Hospital Drive, 4401 Penn Avenue, Pittsburgh, PA 15224, USA 6 Division of Gastroenterology, Children's Hospital of Pittsburgh of UPMC, One Children's Hospital Drive, 4401 Penn Avenue, Pittsburgh, PA 15224, USA 3 Division of Infectious Disease, Children's Hospital of Pittsburgh of UPMC, One Children's Hospital Drive, 4401 Penn Avenue, Pittsburgh, PA 15224, USA 5 Division of Rheumatology, Children's Hospital of Pittsburgh of UPMC, One Children's Hospital Drive, 4401 Penn Avenue, Pittsburgh, PA 15224, USA 7 The Paul C. Gaffney Diagnostic Referral Service, Children's Hospital of Pittsburgh of UPMC, One Children's Hospital Drive, 4401 Penn Avenue, Pittsburgh, PA 15224, USA 2 Division of Pathology, Children's Hospital of Pittsburgh of UPMC, One Children's Hospital Drive, 4401 Penn Avenue, Pittsburgh, PA 15224, USA 1 School of Medicine, University of Pittsburgh, Pittsburgh, PA 15261, |
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Cites_doi | 10.1056/NEJMoa1007097 10.1016/j.bbadis.2009.01.005 10.1002/cyto.990130609 10.1111/j.1365-2362.1992.tb01481.x 10.1097/00005792-200005000-00003 10.1086/301874 10.1016/j.bcmd.2010.07.012 10.1542/peds.20.3.431 10.1172/JCI5084 10.1177/000992288702601011 10.1016/j.clim.2007.09.008 10.1016/S0001-4079(19)33082-1 10.1007/s12016-009-8136-z 10.1056/NEJM196805022781801 |
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Contributor | Moreau, J. F Ozolek, John A Lin, P. Ling Buchert, Andrew R Cassidy, Elaine A Venkat, Veena L Green, Todd D |
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Copyright | Copyright © 2013 J. F. Moreau et al. Copyright © 2013 J. F. Moreau et al. 2013 |
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Title | Chronic Granulomatous Disease Presenting as Aseptic Ascites in a 2-Year-Old Child |
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