Literature review of reported cases of CGD patients undergoing HSCT after an IMI diagnosis
| Study (reference) . | Age at the moment of HSCT . | IMI . | Localization . | Outcome . |
|---|---|---|---|---|
| (30) | | | | Engraftment: Yes |
| N = 1 | 8 years | Aspergillosis with DP | Disseminated (lung, skin and muscular) | GVHD: No |
| Cured of IMI and alive: Yes | ||||
| (28) | | | | Engraftment: Yes |
| N = 1 | 4 years | Aspergillosis with DP | Pneumonia and contiguous osteomyelitis | GVHD: grade III skin |
| Cured and alive: Yes | ||||
| (13) | | | | Engraftment: 2/4 |
| N = 4 | MA: 15.5 years [14–16] | Four aspergillosis with DP | One disseminated infection including heart and bones involvement, two disseminated infections with lung and CNS involvement, one pneumonia | GVHD: 2/4 |
| Cured and alive: 1/4a | ||||
| (13) | | | | Engraftment: Yes |
| N = 1 | 20 years | S. apiospermum infection with DP | Disseminated (lung and paraspinal) | GVHD: No |
| Cured and alive: nob | ||||
| (31) | | | | Engraftment: Yes |
| N = 1 | 18 years | S. apiospermum infection with DP | Paraspinal abscess | GVHD: No |
| Cured and alive: Noc | ||||
| (32) | | | | Engraftment: Yes |
| N = 1 | 8 years | Aspergillosis with DP | Disseminated (lung + vertebrae) | GVHD: grade III gut + liver |
| Cured and alive: Yes | ||||
| (33) | | | | Engraftment: Yesd |
| N = 1 | 3 years | Aspergillosis with DP | Disseminated (lung + CNS) | GVHD: grade II |
| Cured and alive: Yes | ||||
| (34) | | | | Engraftment: 7/9 |
| N = 9 | MA: 2 years [2–3] | Aspergillosis with CR | Lung | GVHD: 2/9 |
| Cured and alive: 6/9e | ||||
| (35) | | | Two pneumonias | Engraftment: 2/3 |
| N = 3 | 15, 17, and 21 years | Two aspergillosis with CR and one aspergillosis with DP | One disseminated infection (brain; kidney) | GVHD: 1/3 (grade 2 skin) |
| Cured and alive: 2/3f | ||||
| (36) | | | | Engraftment: Yes |
| N = 1 | 6 years | Aspergillosis with CR | Pneumonia | GVHD: No |
| Cured and alive: Yes | ||||
| (37) | | | | Engraftment: Yes |
| N = 1 | 13 years | Aspergillosis with CR | Sinusitis | GVHD: grade 2 liver |
| Cured and alive: Yes | ||||
| (38) | | | | Engraftment: Yes |
| N = 1 | 8 years | Aspergillosis (no information about infection stage) | Pneumonia | GVHD: No |
| Cured and alive: Yes | ||||
| (39) | | | | Engraftment: 2/2g |
| N = 2 | 13 and 5 years | Aspergillosis with DP | Pneumonia | GVHD: 1/2 (grade 2 skin) |
| Cured and alive: 2/2 | ||||
| (40) | | | | Engraftment: Yesh |
| N = 1 | 3 mo | Aspergillosis with DP | Pneumonia | GVHD: grade 2 skin |
| Cured and alive: Yes | ||||
| (23) | | | | Engraftment: 11/11 |
| N = 11 | MA: 14 years [13–16] | S. apiospermum infection with DP | Two disseminated infections (one bones + lung; one CNS + lung), nine pneumonias | GVHD: 1/11 |
| Cured and alive: 10/11i | ||||
| (29) | | | | Engraftment: Yes |
| N = 1 | 12 years | Aspergillosis with DP | Pericarditis | GVHD: grade 2 GI |
| Cured and alive: Yes | ||||
| (29) | | | | Engraftment: Yes |
| N = 1 | 26 years | Two aspergillosis with DP | Pneumonia with contiguous osteomyelitis | GVHD: grade 2 GI |
| Cured and alive: Yes | ||||
| (41) | | | | Engraftment: 2/2j |
| N = 2 | 1 and 11 years | Aspergillosis with CR | One disseminated infection (no information about localization)1 | GVHD: 0 |
| Cured and alive: 2/2 | ||||
| (42) | | | | Engraftment: Yes |
| N = 1 | 5 years | Two scedosporiosis with SRk and four aspergillosis with SRk | Pneumonia | GVHD: grade 2 GI |
| Cured and alive: Yes | ||||
| (43) | | | | Engraftment: 13/13 |
| N = 13 | MA: 18 [5–25] | Seven aspergillosis with DP | Six pneumonias, five disseminated diseases, one spinal abscess, and one muscular abscess | GVHD: 4/13 |
| Cured and alive: 10/13 | ||||
| This paper | | | | Engraftment: 12/14 |
| N = 14 | MA: 15 years [10–30] | See Table 1 | See Table 1 | GVHD: 1/14 |
| Cured and alive: 12/14 |
| Study (reference) . | Age at the moment of HSCT . | IMI . | Localization . | Outcome . |
|---|---|---|---|---|
| (30) | | | | Engraftment: Yes |
| N = 1 | 8 years | Aspergillosis with DP | Disseminated (lung, skin and muscular) | GVHD: No |
| Cured of IMI and alive: Yes | ||||
| (28) | | | | Engraftment: Yes |
| N = 1 | 4 years | Aspergillosis with DP | Pneumonia and contiguous osteomyelitis | GVHD: grade III skin |
| Cured and alive: Yes | ||||
| (13) | | | | Engraftment: 2/4 |
| N = 4 | MA: 15.5 years [14–16] | Four aspergillosis with DP | One disseminated infection including heart and bones involvement, two disseminated infections with lung and CNS involvement, one pneumonia | GVHD: 2/4 |
| Cured and alive: 1/4a | ||||
| (13) | | | | Engraftment: Yes |
| N = 1 | 20 years | S. apiospermum infection with DP | Disseminated (lung and paraspinal) | GVHD: No |
| Cured and alive: nob | ||||
| (31) | | | | Engraftment: Yes |
| N = 1 | 18 years | S. apiospermum infection with DP | Paraspinal abscess | GVHD: No |
| Cured and alive: Noc | ||||
| (32) | | | | Engraftment: Yes |
| N = 1 | 8 years | Aspergillosis with DP | Disseminated (lung + vertebrae) | GVHD: grade III gut + liver |
| Cured and alive: Yes | ||||
| (33) | | | | Engraftment: Yesd |
| N = 1 | 3 years | Aspergillosis with DP | Disseminated (lung + CNS) | GVHD: grade II |
| Cured and alive: Yes | ||||
| (34) | | | | Engraftment: 7/9 |
| N = 9 | MA: 2 years [2–3] | Aspergillosis with CR | Lung | GVHD: 2/9 |
| Cured and alive: 6/9e | ||||
| (35) | | | Two pneumonias | Engraftment: 2/3 |
| N = 3 | 15, 17, and 21 years | Two aspergillosis with CR and one aspergillosis with DP | One disseminated infection (brain; kidney) | GVHD: 1/3 (grade 2 skin) |
| Cured and alive: 2/3f | ||||
| (36) | | | | Engraftment: Yes |
| N = 1 | 6 years | Aspergillosis with CR | Pneumonia | GVHD: No |
| Cured and alive: Yes | ||||
| (37) | | | | Engraftment: Yes |
| N = 1 | 13 years | Aspergillosis with CR | Sinusitis | GVHD: grade 2 liver |
| Cured and alive: Yes | ||||
| (38) | | | | Engraftment: Yes |
| N = 1 | 8 years | Aspergillosis (no information about infection stage) | Pneumonia | GVHD: No |
| Cured and alive: Yes | ||||
| (39) | | | | Engraftment: 2/2g |
| N = 2 | 13 and 5 years | Aspergillosis with DP | Pneumonia | GVHD: 1/2 (grade 2 skin) |
| Cured and alive: 2/2 | ||||
| (40) | | | | Engraftment: Yesh |
| N = 1 | 3 mo | Aspergillosis with DP | Pneumonia | GVHD: grade 2 skin |
| Cured and alive: Yes | ||||
| (23) | | | | Engraftment: 11/11 |
| N = 11 | MA: 14 years [13–16] | S. apiospermum infection with DP | Two disseminated infections (one bones + lung; one CNS + lung), nine pneumonias | GVHD: 1/11 |
| Cured and alive: 10/11i | ||||
| (29) | | | | Engraftment: Yes |
| N = 1 | 12 years | Aspergillosis with DP | Pericarditis | GVHD: grade 2 GI |
| Cured and alive: Yes | ||||
| (29) | | | | Engraftment: Yes |
| N = 1 | 26 years | Two aspergillosis with DP | Pneumonia with contiguous osteomyelitis | GVHD: grade 2 GI |
| Cured and alive: Yes | ||||
| (41) | | | | Engraftment: 2/2j |
| N = 2 | 1 and 11 years | Aspergillosis with CR | One disseminated infection (no information about localization)1 | GVHD: 0 |
| Cured and alive: 2/2 | ||||
| (42) | | | | Engraftment: Yes |
| N = 1 | 5 years | Two scedosporiosis with SRk and four aspergillosis with SRk | Pneumonia | GVHD: grade 2 GI |
| Cured and alive: Yes | ||||
| (43) | | | | Engraftment: 13/13 |
| N = 13 | MA: 18 [5–25] | Seven aspergillosis with DP | Six pneumonias, five disseminated diseases, one spinal abscess, and one muscular abscess | GVHD: 4/13 |
| Cured and alive: 10/13 | ||||
| This paper | | | | Engraftment: 12/14 |
| N = 14 | MA: 15 years [10–30] | See Table 1 | See Table 1 | GVHD: 1/14 |
| Cured and alive: 12/14 |
N = number of patients. CGD, chronic granulomatous disease; MA, median age; GI, gastrointestinal; CNS, central nervous system; BM, bone marrow.
The causes of death were progression of aspergillosis before engraftment in two patients and a massive hemorrhage in one patient.
The patient died from an uncontrolled hemorrhage through an eroded carotid artery.
The patient succumbed to a complication of tracheostomy 73 days after transplantation.
The patient had an HSCT failure following a first HSCT with reduced toxicity conditioning.
One patient died from ARDS, another from systemic BK virus infection, the third from complications of chronic GVHD.
One patient died 1 day prior to transplantation from multiorgan failure secondary to disseminated A. nidulans infection.
One patient had HSCT failure following a first HSCT with myeloablative conditioning.
The patient experienced an allograft rejection following a cord blood transplantation from an unrelated donor before her last HSCT.
One patient with IPA died from a steroid-refractory acute GVHD of grade III–IV at day 125 after HSCT.
One of the patient received a boost with a BM donor 37 days after HSCT.
According to the definitions of the study published by Klin et al, the disease was stable if the patient had no clinical symptoms related to the disease, and pretransplant radiology revealed no changes to suggest progression at day 0.