Autosomal recessive IL12RB1 mutation: A case report of a Sudanese child and his father

IntroductionMendelian susceptibility to mycobacterial disease (MSMD) is a rare inherited condition characterized by selective susceptibility to weakly virulent mycobacteria, such as substrains of the bacille Calmette–Guérin (BCG) vaccine and different environmental mycobacteria.Case presentationA 7-...

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Main Authors: Omaima Abdelmajeed, Muna Mohammed Dawoud Ali, Nahla Hashim Erwa, Alamin Mustafa, Yassin Abdelraheem Ahmed, Rogaia Hasap Alrasoul Ahmed, Hala Hamza Eltayeb Mohammed, Malaz Elsadeg Hassan, Monzir Ahmed, Shima Algam
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2023.1135824/full
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author Omaima Abdelmajeed
Muna Mohammed Dawoud Ali
Nahla Hashim Erwa
Alamin Mustafa
Yassin Abdelraheem Ahmed
Rogaia Hasap Alrasoul Ahmed
Hala Hamza Eltayeb Mohammed
Malaz Elsadeg Hassan
Monzir Ahmed
Shima Algam
author_facet Omaima Abdelmajeed
Muna Mohammed Dawoud Ali
Nahla Hashim Erwa
Alamin Mustafa
Yassin Abdelraheem Ahmed
Rogaia Hasap Alrasoul Ahmed
Hala Hamza Eltayeb Mohammed
Malaz Elsadeg Hassan
Monzir Ahmed
Shima Algam
author_sort Omaima Abdelmajeed
collection DOAJ
description IntroductionMendelian susceptibility to mycobacterial disease (MSMD) is a rare inherited condition characterized by selective susceptibility to weakly virulent mycobacteria, such as substrains of the bacille Calmette–Guérin (BCG) vaccine and different environmental mycobacteria.Case presentationA 7-year-old Sudanese boy was referred to the immunology clinic with a suspected diagnosis of MSMD. This followed multiple presentations with disseminated tuberculosis and typhoid fever. Genetic testing surprisingly revealed pathogenic homozygous variants in IL12RB1 Exon 9, c.913A>T (p. Lys305*) in both the patient and his father, with a completely healthy asymptomatic carrier mother who is not blood related to the patient’s father.ConclusionIt is challenging to diagnose MSMD, especially in developing countries where health systems are poor and have limited resources. Family history and genetic tests may help in early MSMD treatment and avoiding disease complications.
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spelling doaj.art-5e2ee4ca3a684b7f86284959ae6a88422023-03-31T05:11:29ZengFrontiers Media S.A.Frontiers in Immunology1664-32242023-03-011410.3389/fimmu.2023.11358241135824Autosomal recessive IL12RB1 mutation: A case report of a Sudanese child and his fatherOmaima Abdelmajeed0Muna Mohammed Dawoud Ali1Nahla Hashim Erwa2Alamin Mustafa3Yassin Abdelraheem Ahmed4Rogaia Hasap Alrasoul Ahmed5Hala Hamza Eltayeb Mohammed6Malaz Elsadeg Hassan7Monzir Ahmed8Shima Algam9Department of Pediatrics, Omdurman Islamic University, Omdurman, SudanDepartment of Pediatrics, Tropical and Infectious Diseases, College of Medicine, University of Science and Technology, Khartoum, SudanFaculty of Medicine, University of Khartoum, Khartoum, SudanFaculty of Medicine, Al-Neelain University, Khartoum, SudanFaculty of Medicine, Omdurman Islamic University, Omdurman, SudanFaculty of Medicine, Omdurman Islamic University, Omdurman, SudanFaculty of Medicine, Omdurman Islamic University, Omdurman, SudanFaculty of Medicine, Omdurman Islamic University, Omdurman, SudanFaculty of Medicine, Omdurman Islamic University, Omdurman, SudanFaculty of Medicine, Al-Neelain University, Khartoum, SudanIntroductionMendelian susceptibility to mycobacterial disease (MSMD) is a rare inherited condition characterized by selective susceptibility to weakly virulent mycobacteria, such as substrains of the bacille Calmette–Guérin (BCG) vaccine and different environmental mycobacteria.Case presentationA 7-year-old Sudanese boy was referred to the immunology clinic with a suspected diagnosis of MSMD. This followed multiple presentations with disseminated tuberculosis and typhoid fever. Genetic testing surprisingly revealed pathogenic homozygous variants in IL12RB1 Exon 9, c.913A>T (p. Lys305*) in both the patient and his father, with a completely healthy asymptomatic carrier mother who is not blood related to the patient’s father.ConclusionIt is challenging to diagnose MSMD, especially in developing countries where health systems are poor and have limited resources. Family history and genetic tests may help in early MSMD treatment and avoiding disease complications.https://www.frontiersin.org/articles/10.3389/fimmu.2023.1135824/fullimmunologybacille Calmette–Guérin (BCG) vaccineMendelian susceptibility to mycobacterial diseasestuberculosisIL12RB1 mutation
spellingShingle Omaima Abdelmajeed
Muna Mohammed Dawoud Ali
Nahla Hashim Erwa
Alamin Mustafa
Yassin Abdelraheem Ahmed
Rogaia Hasap Alrasoul Ahmed
Hala Hamza Eltayeb Mohammed
Malaz Elsadeg Hassan
Monzir Ahmed
Shima Algam
Autosomal recessive IL12RB1 mutation: A case report of a Sudanese child and his father
Frontiers in Immunology
immunology
bacille Calmette–Guérin (BCG) vaccine
Mendelian susceptibility to mycobacterial diseases
tuberculosis
IL12RB1 mutation
title Autosomal recessive IL12RB1 mutation: A case report of a Sudanese child and his father
title_full Autosomal recessive IL12RB1 mutation: A case report of a Sudanese child and his father
title_fullStr Autosomal recessive IL12RB1 mutation: A case report of a Sudanese child and his father
title_full_unstemmed Autosomal recessive IL12RB1 mutation: A case report of a Sudanese child and his father
title_short Autosomal recessive IL12RB1 mutation: A case report of a Sudanese child and his father
title_sort autosomal recessive il12rb1 mutation a case report of a sudanese child and his father
topic immunology
bacille Calmette–Guérin (BCG) vaccine
Mendelian susceptibility to mycobacterial diseases
tuberculosis
IL12RB1 mutation
url https://www.frontiersin.org/articles/10.3389/fimmu.2023.1135824/full
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