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A case report of chronic granulomatous disease presenting with aspergillus pneumonia in a 2-month old girl
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  • A case report of chronic granulomatous disease presenting with aspergillus pneumonia in a 2-month old girl
  • A case report of chronic granulomatous disease presenting with aspergillus pneumonia in a 2-month old girl
저자명
Lee. Eun,Oh. Seak-Hee,Kwon. Ji-Won,Kim. Byoung-Ju,Yu. Jin-Ho,Park. Chan-Jeoung,Hong. Soo-Jong
간행물명
Korean journal of pediatrics
권/호정보
2010년|53권 6호|pp.722-726 (5 pages)
발행정보
대한소아과학회
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정기간행물|ENG|
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

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-${gamma}$ 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.