Table 3.

Literature review of reported cases of CGD patients undergoing HSCT after an IMI diagnosis

Study (reference)Age at the moment of HSCTIMILocalizationOutcome
(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 HSCTIMILocalizationOutcome
(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.

a

The causes of death were progression of aspergillosis before engraftment in two patients and a massive hemorrhage in one patient.

b

The patient died from an uncontrolled hemorrhage through an eroded carotid artery.

c

The patient succumbed to a complication of tracheostomy 73 days after transplantation.

d

The patient had an HSCT failure following a first HSCT with reduced toxicity conditioning.

e

One patient died from ARDS, another from systemic BK virus infection, the third from complications of chronic GVHD.

f

One patient died 1 day prior to transplantation from multiorgan failure secondary to disseminated A. nidulans infection.

g

One patient had HSCT failure following a first HSCT with myeloablative conditioning.

h

The patient experienced an allograft rejection following a cord blood transplantation from an unrelated donor before her last HSCT.

i

One patient with IPA died from a steroid-refractory acute GVHD of grade III–IV at day 125 after HSCT.

j

One of the patient received a boost with a BM donor 37 days after HSCT.

k

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.

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