Related Experiment Video
Updated: Mar 13, 2026

Concomitant Isolation of Primary Astrocytes and Microglia for Protozoa Parasite Infection
Published on: March 18, 2020
Cerebral amebiasis due to Acanthamoeba sp. in a patient with complete gp91 phox deficiency
Marie Roelens1,2,3, Anna-Lena Neehus2,4,5, Jérémie Rosain1,2,4,6
1Study Center for Primary Immunodeficiencies, Necker Hospital for Sick Children, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France.
Abstract:
Rare variants in CYBB (encoding gp91 phox ) are responsible for chronic granulomatous disease. We report a patient affected by multiple cerebral abscesses caused by Acanthamoeba sp. and complete gp91 phox deficiency. The respiratory burst evaluation is recommended in any child with a deep abscess.
Insights
Rare CYBB gene variants cause chronic granulomatous disease. A patient with cerebral abscesses and complete gp91 phox deficiency highlights the need for respiratory burst testing in children with deep abscesses.
Area of Science:
- Immunology
- Genetics
- Infectious Diseases
Background:
- Chronic granulomatous disease (CGD) is a primary immunodeficiency disorder.
- CGD is caused by mutations in genes encoding components of the NADPH oxidase complex, primarily CYBB (gp91phox).
- CYBB variants lead to impaired respiratory burst function in phagocytes.
Purpose of the Study:
- To report a case of severe cerebral Acanthamoeba infection in a patient with complete gp91phox deficiency.
- To highlight the diagnostic challenges and importance of respiratory burst evaluation in pediatric deep-seated abscesses.
Main Methods:
- Case report of a pediatric patient.
- Clinical presentation and diagnostic workup.
- Microbiological identification of Acanthamoeba sp.
Main Results:
- The patient presented with multiple cerebral abscesses.
- Complete deficiency of gp91phox (CYBB) was confirmed.
- Acanthamoeba sp. was identified as the causative pathogen.
Conclusions:
- Complete gp91phox deficiency can predispose individuals to severe opportunistic infections, such as Acanthamoeba encephalitis.
- Respiratory burst evaluation is crucial in the diagnostic workup of children presenting with deep abscesses, irrespective of suspected etiology.
- Early diagnosis and management of CGD are essential to prevent severe infections.
More Related Videos
Related Concept Videos
Diversity of Protists II
Fungal Phylum Microsporidia

