Extracorporeal Membrane Oxygenation-Dependent Fulminant Melioidosis From Caspase 4 Mutation Reversed by Interferon Gamma Therapy

Aseervatham Anusha Amali, Sharada Ravikumar, Wei Leong Chew, Zhaohong Tan, Qi Hui Sam, Kaiwen W Chen, Dave Boucher, Graeme MacLaren, Louis Yi Ann Chai

Research output: Contribution to journalArticlepeer-review

Abstract

We describe bedside-to-bench immunological and genetic elucidation of defective pyroptosis attributable to novel caspase 4 defect mediating pathogen-triggered inflammatory programmed cell death, in the setting of severe pneumonia and abscess-forming melioidosis in an overtly healthy host failing to clear Burkholderia pseudomallei infection, and how targeted adjunctive biological therapy led to a successful outcome.

Original languageEnglish
Pages (from-to)94-97
Number of pages4
JournalClinical infectious diseases : an official publication of the Infectious Diseases Society of America
Volume78
Issue number1
Early online date20 Sept 2023
DOIs
Publication statusPublished - 15 Jan 2024

Bibliographical note

© The Author(s) 2023. Published by Oxford University Press on behalf of Infectious Diseases Society of America. All rights reserved. For permissions, please e-mail: [email protected].

Keywords

  • Humans
  • Melioidosis/drug therapy
  • Burkholderia pseudomallei/genetics
  • Interferon-gamma/genetics
  • Extracorporeal Membrane Oxygenation
  • Mutation

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