title: Acremonium kiliense infection in a child with chronic granulomatous disease.
abstract: Infection by unusual microorganisms can be one of the clinical manifestations of primary immunodeficiency (PID). We report on a four-month-old child with pneumonia caused by the fungus Acremonium kiliense as the first clinical manifestation of chronic granulomatous disease. We emphasize the importance of an active search for unusual organisms in immunodeficient patients, and a precise diagnosis and early institution of specific treatment against such microorganisms for the reduction of the morbidity and mortality of these patients.
authors.affiliation: Allergy and Immunology Unit, Department of Pediatrics, University of São Paulo, São Paulo, SP, Brazil. antoniocp@icr.hcnet.usp.br
authors.forename: Antonio Carlos
authors.initials: AC
authors.lastname: Pastorino
authors.forename: Ulissis Pádua de
authors.initials: UP
authors.lastname: Menezes
authors.forename: Heloisa Helena de Souza
authors.initials: HH
authors.lastname: Marques
authors.forename: Marcelo G
authors.initials: MG
authors.lastname: Vallada
authors.forename: Vera Lúcia
authors.initials: VL
authors.lastname: Cappellozi
authors.forename: Eugénia Maria Grilo
authors.initials: EM
authors.lastname: Carnide
authors.forename: Cristina Miuki Abe
authors.initials: CM
authors.lastname: Jacob
mesh_terms: D000164:Acremonium / Q000302:isolation & purification*; D006105:Granulomatous Disease, Chronic / Q000150:complications / Q000175:diagnosis / Q000382:microbiology*; D006801:Humans; D007223:Infant; D008297:Male; D009181:Mycoses / Q000175:diagnosis / Q000382:microbiology*; D009894:Opportunistic Infections / Q000150:complications / Q000175:diagnosis / Q000382:microbiology*; D011014:Pneumonia / Q000150:complications / Q000175:diagnosis / Q000382:microbiology*