title: Malaysia's First Transplanted Case of Chronic Granulomatous Disease: The Journey of Overcoming Obstacles.
abstract: The awareness of primary immunodeficiency (PID) in Malaysia is still not forthcoming. Certain practical issues such as lack of clinical immunologists and specialized laboratory diagnostic facilities remain to be addressed. However, great efforts taken by passionate clinicians and scientists in the immunology networking have ascertained some prevalence. Despite the limitation, all suspected cases of PID are being properly investigated and competently managed. In this case report we highlighted the obstacles we faced in managing PID patients, particularly preparing for bone marrow transplant. This is the first transplanted case of chronic granulomatous disease in Malaysia, which emphasizes the importance of collaborative work to ensure further morbidities or mortalities are prevented.
authors.affiliation: Department of Paediatrics, Clinical Immunology University, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, 43400 Selangor, Malaysia. ihakimah@yahoo.com.
authors.forename: Intan Hakimah
authors.initials: IH
authors.lastname: Ismail
authors.affiliation: Department of Paediatrics, Serdang Hospital, Kajang, 43000 Selangor, Malaysia. idafaizah@yahoo.co.uk.
authors.forename: Faizah Mohamed
authors.initials: FM
authors.lastname: Jamli
authors.affiliation: Paediatric Haematology, Oncology and Stem Cell Transplant Unit, Institute of Paediatrics, Kuala Lumpur Hospital, 50586 Kuala Lumpur, Malaysia. idashahnaz@gmail.com.
authors.forename: Ida Shahnaz
authors.initials: IS
authors.lastname: Othman
authors.affiliation: Department of Paediatrics, Universiti Kebangsaan Malaysia Medical Centre, 56000 Kuala Lumpur, Malaysia. lokman.m.noh@gmail.com.
authors.forename: Lokman Mohd
authors.initials: LM
authors.lastname: Noh
authors.affiliation: Pantai Hospital Kuala Lumpur, 59100 Kuala Lumpur, Malaysia. amirlatiff@gmail.com.
authors.forename: Amir Hamzah
authors.initials: AH
authors.lastname: Abdul Latiff
keywords: bone marrow transplantation; chronic granulomatous disease; clinical immunologist; primary immunodeficiency; specialized laboratory facilities