Deficiency of interleukin-1 receptor-associated kinase 4 presenting as fatal Pseudomonas aeruginosa bacteremia in two siblings

Pediatr Infect Dis J. 2015 Mar;34(3):299-300. doi: 10.1097/INF.0000000000000550.

Abstract

Interleukin-1 receptor-associated kinase 4 (IRAK-4) deficiency is a primary immunodeficiency of innate immunity. This is the case of a previous healthy toddler and his sibling, who both died of fulminant sepsis due to Pseudomonas aeruginosa. Subsequent genetic analysis demonstrated IRAK-4 deficiency with compound heterozygous splice mutations. Fulminant fatal P. aeruginosa sepsis may be the first manifestation of IRAK-4 deficiency.

Publication types

  • Case Reports
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bacteremia*
  • Fatal Outcome
  • Humans
  • Immunologic Deficiency Syndromes*
  • Infant
  • Interleukin-1 Receptor-Associated Kinases
  • Male
  • Primary Immunodeficiency Diseases
  • Pseudomonas Infections / diagnosis
  • Pseudomonas Infections / genetics*
  • Pseudomonas Infections / metabolism
  • Pseudomonas Infections / microbiology*
  • Pseudomonas aeruginosa*
  • Siblings*

Substances

  • Interleukin-1 Receptor-Associated Kinases

Supplementary concepts

  • IRAK4 Deficiency