Adult-onset Mendelian Susceptibility to Mycobacterial Diseases: A case report and systematic literature review

Yang，Yang1; Xia，Lu1; Lu，Shuihua2

2023-12-01

10.1016/j.heliyon.2023.e22632

Heliyon   影响因子和分区

2405-8440

Objectives: To help in diagnosis and treatment of adult-onset Mendelian Susceptibility to Mycobacterial Disease (MSMD). Methods: We reported a 27-year-old man who had disease onset at 18 years. Then we reviewed previous reports of adult-onset MSMD patients, and summarized their clinical characteristics. Results: The case was diagnosed as MSMD with tyrosine kinase 2 (TYK2) mutation and had dramatic improvement after treatment. In addition to our presented case and through a review of the literature, 12 cases in total were included in our study. Average age of disease onset was 29.4 years. Medium delay of diagnosis was 2.5 years. Four were with IFN-γR1 deficiency, four with IL-12β1 deficiency, two with NEMO deficiency, one with TYK2 deficiency and one with STAT1 deficiency. Common symptoms were lymphadenopathy (6/12, 50.0 %), weight loss (6/12, 50.0 %), bone/joint pain (5/12, 41.7 %), fever (4/12, 33.3 %) and gastrointestinal symptoms (4/12, 33.3 %). Mycobacteria caused infections in lymph nodes (7/12, 58.3 %), bone/joint (5/12, 41.7 %) and skin (5/12, 41.7 %). After treatment, eight (66.7 %) got favorable prognosis, two (16.7 %) died and one (16.7 %) was unknown. Conclusions: Adult-onset MSMD have complex clinical presentations and are difficult to recognize, which results in delayed diagnosis. However, once identified, antibiotics and IFN-γ might have good efficacy. Therefore, when encountering adult patients with recurrent and refractory mycobacterial infections, especially in lymph nodes, bone/joints, and skin, MSMD should be considered.

Adult-onset Inborn errors of immunity (IEIs) Mendelian susceptibility to mycobacterial disease (MSMD) Mycobacterium Recombinant human interferon γ ((IFN-γ)

SCI

英语

通讯

WOS:001129128400001

2-s2.0-85178152626

Scopus

1.Shanghai Public Health Clinical Center Affiliated to Fudan University,Shanghai,201508,China
2.Department of Pulmonary Medicine,National Clinical Research Center for Infectious Disease,Shenzhen Third People's Hospital/The Second Affiliated Hospital,School of Medicine,Southern University of Science and Technology,Shenzhen,Guangdong Province,518112,China

Yang，Yang,Xia，Lu,Lu，Shuihua. Adult-onset Mendelian Susceptibility to Mycobacterial Diseases: A case report and systematic literature review[J]. Heliyon,2023,9(12).

Yang，Yang,Xia，Lu,&Lu，Shuihua.(2023).Adult-onset Mendelian Susceptibility to Mycobacterial Diseases: A case report and systematic literature review.Heliyon,9(12).

Yang，Yang,et al."Adult-onset Mendelian Susceptibility to Mycobacterial Diseases: A case report and systematic literature review".Heliyon 9.12(2023).