Recurrent episodes of pneumonia in a toddler: Don't forget chronic granulomatous disease

Abstract

A 4-year-old boy presented with community acquired pneumonia, hepatosplenomegaly and bilateral cervical lymphadenopathy. The peripheral blood film showed significant monocytosis and bone marrow examination revealed multiple histiocytic granulomas. Presence of CD 68 positive granulomas supported by cytological findings enabled us to make a diagnosis of chronic granulomatous disease.

Keywords

• Chronic granulomatous disease
• granulomas
• pneumonia