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Unusual presentation of more common disease/injury
Case report
Lytic lesion of skull: a rare presentation of chronic granulomatous disease
  1. Gurinder Kumar
  1. Pediatrics, Case Western Reserve University Hospital, Cleveland, Ohio, USA
  1. Correspondence to Dr Gurinder Kumar; kumargurinder{at}gmail.com

Abstract

An 18-month-old boy presented with lytic lesion of skull and recurrent abscesses with Serratia marcescens. The extensive work up revealed a gene mutation confirming the diagnosis of chronic granulomatous disease (CGD). This case scenario underscores the importance of exploring the possibility of immunodeficiency if there is a history of recurrent abscesses with atypical organism. The case also demonstrates that CGD can present as lytic lesion of skull.

  • paediatrics
  • immunology

https://doi.org/10.1136/bcr-2020-235423

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    Footnotes

    • Contributors GK managed the patient and drafted the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Parental/guardian consent obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.