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Updated: Aug 19, 2026

An Ex vivo Assay to Study Candida albicans Hyphal Morphogenesis in the Gastrointestinal Tract
Published on: July 1, 2020
[Fungal infections in paediatric patients with chronic granulomatous disease]
P E Santos1, M Oleastro, M Galicchio
1Manuel Quintana 733 Quilmes (Cp.1878), Quilmes Pcia. de Buenos Aires, Argentina. psantos@garra.giga.com.ar
Abstract:
Chronic granulomatous disease (CGD) is a primary immunodeficiency resulting from a disfunction of microbial capacity of phagocytes. Patients with this disease show great susceptibility to fungal and bacterial infections. Between 1988 and 1998, five paediatric patients with CGD who acquired mycotic infections were studied at the Paediatric Hospital Prof. Dr. J. P. Garrahan and their clinical and microbiological characteristics were described. The fungal infection appeared at the mean-age of 8.3 years (range: 1.1-17 years). All the patients had fever and lung involvement, three of them had suppurative abscesses of soft tissues. The mycological diagnosis was determined by microscopy, culture of clinical samples and serologic tests. There were three cases of disseminated aspergillosis, two cases of mixed infection: one due to Candida albicans and Nocardia asteroides and the other due to Scedosporium apiospermum and Cladosporium spp. Four out of the 5 patients died because of an infections process beyond control. Our conclusion is that new therapeutic measures must be considered along with the study of emerging pathogens in this group of patients.
Insights
Patients with chronic granulomatous disease (CGD) face severe fungal infections. This study highlights the high mortality and need for new treatments for these rare mycotic infections in children with CGD.
Area of Science:
- Immunology
- Infectious Diseases
- Pediatrics
Context:
- Chronic granulomatous disease (CGD) impairs phagocyte function, increasing susceptibility to infections.
- Mycotic infections pose a significant threat to pediatric patients with CGD.
- This study reviewed cases from 1988-1998 at a pediatric hospital.
Purpose:
- To describe the clinical and microbiological characteristics of fungal infections in pediatric CGD patients.
- To analyze the outcomes and identify challenges in managing these infections.
Summary:
- Five pediatric CGD patients with mycotic infections were studied, with infections appearing around 8.3 years of age.
- Common symptoms included fever and lung involvement; disseminated aspergillosis and mixed infections were observed.
- Diagnosis involved microscopy, culture, and serologic tests.
Impact:
- Four out of five patients died, underscoring the severity of these infections.
- The findings emphasize the urgent need for novel therapeutic strategies.
- Further research into emerging pathogens in CGD patients is crucial.
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