Two siblings with lethal pneumococcal meningitis in a family with a mutation in Interleukin-1 receptor-associated kinase 4.

Enders, Anselm; Pannicke, Ulrich; Berner, Reinhard; Henneke, Phillip; Radlinger, Klaus; Schwarz, Klaus; Ehl, Stephan · J Pediatr · 2004

case_report · Level V

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Abstract

We describe two siblings with one confirmed and one inferred homozygous base pair deletion in the gene for interleukin-1-related kinase 4 (IRAK-4) who died of pneumococcal meningitis at 2 and 14 months, respectively. Interleukin-1-related kinase 4 deficiency is a potentially lethal immunodeficiency characterized by a poor inflammatory response to pyogenic infections.

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