Clinical and histopathological features and a unique spectrum of organisms significantly associated with chronic granulomatous disease osteomyelitis during childhood

Clin Infect Dis. 2008 Mar 1;46(5):745-9. doi: 10.1086/527446.

Abstract

Herein, we describe a combination of clinical, microbiologic, and histopathologic findings significantly associated with osteomyelitis in chronic granulomatous disease. When present, these features should raise the suspicion of underlying chronic granulomatous disease. In patients with these findings, anti-infective prophylactic measures aiming to cover highly prevalent microorganisms, as well as aggressive therapeutic measures, should be strongly encouraged.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Anti-Bacterial Agents / therapeutic use*
  • Aspergillosis / drug therapy
  • Aspergillosis / microbiology
  • Aspergillosis / pathology
  • Aspergillosis / physiopathology
  • Aspergillus / isolation & purification
  • Bone and Bones / pathology
  • Case-Control Studies
  • Chemoprevention*
  • Child
  • Child, Preschool
  • Granulomatous Disease, Chronic / complications*
  • Granulomatous Disease, Chronic / microbiology*
  • Granulomatous Disease, Chronic / pathology
  • Granulomatous Disease, Chronic / physiopathology
  • Humans
  • Infant
  • Mycoses / drug therapy
  • Mycoses / microbiology
  • Mycoses / pathology
  • Mycoses / physiopathology
  • Osteomyelitis / drug therapy
  • Osteomyelitis / microbiology*
  • Osteomyelitis / pathology*
  • Osteomyelitis / physiopathology
  • Penicillium / isolation & purification
  • Serratia Infections / drug therapy
  • Serratia Infections / microbiology
  • Serratia Infections / pathology
  • Serratia Infections / physiopathology
  • Serratia marcescens / isolation & purification

Substances

  • Anti-Bacterial Agents