Case Report

Successful Handling of Disseminated BCG Disease in a Child with Severe Combined Immunodeficiency

Table 1

Laboratory results. *Maternal T cells in chimerism analysis. #Total chimerism 60% donor, 40% patient. Myeloid chimerism 100% patient, T and NK cell chimerism 100% donor.

Laboratory testPatient prior to transplantationPatient 3 months after transplantationPatient 6 months after transplantationReference value

Serum immunoglobulins
 IgA (mg/mL)<0.10.120.150.2–0.6
 IgG (mg/mL)0,63SubstitutedSubstituted2.3–4.4
 IgM (mg/mL)0,3510.790.320.3–0.9

Vaccine titers
 Diphtheria (IU/mL)0.25Not doneNot done>0.5
 Tetanus (IU/mL)0.13Not doneNot done>0.5
 IsohemagglutininsUndetectedNot doneNot done>1/16

Lymphocyte subsets
 CD3+ (cells/μL)345*12410982300–6500
 CD3+CD4+ (cells/μL)8699601500–5000
 CD3+CD4+CD45RA (%)<162%84%64–92
 CD3+CD8+ (cells/μL)339*1391500–1600
 CD3+CD8+CD45RA (%)053–88
 CD19+ (cells/μL)21010623477600–1300
 CD56+ (cells/μL)18165127100–1000

Lymphocyte proliferation
 Phytohemagglutinin (SI)386
 Anti-CD3 (SI)124
 PPD (SI)19
 Vβ TCR repertoirerestrictedNot doneNot done
Chimerism75% maternal100% donor60% donor#

Viral loads and PCR
 CMV, EBV, HSV,All negativeAll negativeAll negative
 HIV1/2,HBV,HCV,
 HHV6/7,VZV,  
 Enterovirus, Adenovirus

PCR NorovirusNot done++