Pseudomonas aeruginosa sepsis presenting as oral ecthyma gangrenosum in identical twins with Bruton tyrosine kinase gene mutation: Two case reports and review of the literature.

J Microbiol Immunol Infect

Department of Pediatrics, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan; Department of Pediatrics, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan. Electronic address:

Published: December 2020

AI Article Synopsis

  • X-linked agammaglobulinemia (XLA) is a genetic immunodeficiency disorder that affects the immune system.
  • The study involves two 7-month-old identical male twins who experienced severe infections from Pseudomonas aeruginosa, initially presenting with oral conditions.
  • Genetic testing revealed both twins had the same mutation (c.862C > T) in the BTK gene, confirming their diagnosis of XLA.

Article Abstract

X-linked agammaglobulinemia (XLA) is a primary immunodeficiency disease. We reported two 7-month-old identical male twins with Pseudomonas aeruginosa sepsis who initially manifested as oral ecthyma gangrenosum and were finally diagnosed to have XLA. In both cases, we confirmed the c.862C > T BTK missense mutation in exon 10 at the SH2 domain.

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http://dx.doi.org/10.1016/j.jmii.2020.04.009DOI Listing

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