Disseminated Mycobacterium Avium Infection in a Child with Complete Interferon-γ Receptor 1 Deficiency due to Compound Heterozygosis of IFNGR1 for a Subpolymorphic Copy Number Variation and a Novel Splice-Site Variant

因 IFNGR1 复合杂合导致亚多态性拷贝数变异和新型剪接位点变异而导致完全性干扰素-γ 受体 1 缺陷的儿童发生播散性鸟分枝杆菌感染

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作者:Grazia Bossi, Edoardo Errichiello, Orsetta Zuffardi, Piero Marone, Vincenzina Monzillo, Daniela Barbarini, Antonio Vergori, Lorenzo Andrea Bassi, Gaetana Anna Rispoli, Mara De Amici, Marco Zecca

Abstract

Complete interferon-γ receptor 1 deficiency is a monogenic primary immunodeficiency caused by IFNGR1 germline defects, with autosomal dominant or recessive inheritance, which results in invasive mycobacterial diseases with varying degrees of severity. Most of the autosomal recessive IFNGR1 mutations are homozygous loss-of-function single-nucleotide variants, whereas large genomic deletions and compound heterozygosity have been very rarely reported. Herein we describe the clinical presentation, diagnosis, and successful treatment with hematopoietic stem cell transplantation of a child with disseminated Mycobacterium avium infection due to compound heterozygosity for a subpolymorphic copy number variation and a novel splice-site variant.

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