Evidence map›Paper›PMID 30264381›Full record

ArticleJournal of clinical immunology2018

Early-Onset Invasive Infection Due to Corynespora cassiicola Associated with Compound Heterozygous CARD9 Mutations in a Colombian Patient.

Carlos A Arango-Franco, Marcela Moncada-Vélez, Claudia Patricia Beltrán, Indira Berrío, Cristian Mogollón, Andrea Restrepo, Mónica Trujillo, Sara Daniela Osorio, Lorena Castro, Lina Vanessa Gómez and 13 more

Abstract readCase Reports
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In one paragraph

Article in Journal of clinical immunology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 37 citations in OpenAlex.

  1. Review
  2. Diverse, novel mycoviruses coinfecting the phytopathogenic fungusFrontiers in cellular and infection microbiology · 2025
    Article
  3. The CARD9 Gene in Koalas (Journal of fungi (Basel, Switzerland) · 2024
    Article
  4. Article
  5. Article
  6. Review
  7. Case report: A case of ocular infection caused byFrontiers in cellular and infection microbiology · 2023
    Article
  8. Mouse Models of Phaeohyphomycosis.Methods in molecular biology (Clifton, N.J.) · 2023
    Article
  9. Article
  10. Invasive Rhinosinusitis Caused byJournal of fungi (Basel, Switzerland) · 2022
    Article
  11. PulmonaryWorld journal of clinical cases · 2022
    Article
  12. Article
  13. CARD9 Signaling, Inflammation, and Diseases.Frontiers in immunology · 2022
    Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors at 6 institutions in 4 countries.

Carlos A Arango-FrancoGrupo de Inmunodeficiencias Primarias, Universidad de Antioquia UdeA, Calle 70 No. 52-21, Medellín, Colombia.
Marcela Moncada-VélezGrupo de Inmunodeficiencias Primarias, Universidad de Antioquia UdeA, Calle 70 No. 52-21, Medellín, Colombia.
Claudia Patricia BeltránDepartamento de Pediatría, Universidad de Antioquia UdeA, Calle 70 No. 52-21, Medellín, Colombia.
Indira BerríoMedical and Experimental Mycology Group, Corporación para Investigaciones Biológicas (CIB), Medellín, Colombia.
Cristian MogollónInfectología, Hospital Universitario Fernando Troconnis, Santa Marta, Colombia.
Andrea RestrepoHospital Pablo Tobón Uribe, Medellín, Colombia.
Mónica TrujilloHospital Pablo Tobón Uribe, Medellín, Colombia.
Sara Daniela OsorioGrupo de Inmunodeficiencias Primarias, Universidad de Antioquia UdeA, Calle 70 No. 52-21, Medellín, Colombia.
Lorena CastroGrupo de Inmunodeficiencias Primarias, Universidad de Antioquia UdeA, Calle 70 No. 52-21, Medellín, Colombia.
Lina Vanessa GómezHospital Pablo Tobón Uribe, Medellín, Colombia.
Ana María MuñozServicio de Dermatología, Universidad Pontificia Bolivariana, Medellín, Colombia.
Verónica MolinaHospital Pablo Tobón Uribe, Medellín, Colombia.
Delsy Yurledy Del Río CobaledaHospital Pablo Tobón Uribe, Medellín, Colombia.
Ana Cristina RuizHospital Pablo Tobón Uribe, Medellín, Colombia.
Carlos GarcésDepartamento de Pediatría, Universidad de Antioquia UdeA, Calle 70 No. 52-21, Medellín, Colombia.
Juan Fernando AlzateCentro Nacional de Secuenciación Genómica CNSG, Facultad de Medicina, Universidad de Antioquia UdeA, Calle 70 No 52-21, Medellín, Colombia.
Felipe CabarcasCentro Nacional de Secuenciación Genómica CNSG, Facultad de Medicina, Universidad de Antioquia UdeA, Calle 70 No 52-21, Medellín, Colombia.
Julio Cesar OrregoGrupo de Inmunodeficiencias Primarias, Universidad de Antioquia UdeA, Calle 70 No. 52-21, Medellín, Colombia.
Jean-Laurent CasanovaLaboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM-U1163, Paris, EU, France.
Jacinta BustamanteLaboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM-U1163, Paris, EU, France.
Anne PuelLaboratory of Human Genetics of Infectious Diseases, Necker Branch, INSERM-U1163, Paris, EU, France.
Andrés Augusto AriasGrupo de Inmunodeficiencias Primarias, Universidad de Antioquia UdeA, Calle 70 No. 52-21, Medellín, Colombia. aaugusto.arias@udea.edu.co.ORCID 0000-0002-9478-8403
José Luis FrancoGrupo de Inmunodeficiencias Primarias, Universidad de Antioquia UdeA, Calle 70 No. 52-21, Medellín, Colombia.
Universidad de Antioquia · COHospital Pablo Tobon Uribe · COUniversidad Pontificia Bolivariana · COInserm · FRHoward Hughes Medical Institute · USMunicipality of Medellín · CO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCARD9 deficiency is an inborn error of immunity that predisposes otherwise healthy humans to mucocutaneous and invasive fungal infections, mostly caused by Candida, but also by dermatophytes, Aspergillus, and other fungi. Phaeohyphomycosis are an emerging group of fungal infections caused by dematiaceous fungi (phaeohyphomycetes) and are being increasingly identified in patients with CARD9 deficiency. The Corynespora genus belongs to phaeohyphomycetes and only one adult patient with CARD9 deficiency has been reported to suffer from invasive disease caused by C. cassiicola. We identified a Colombian child with an early-onset, deep, and destructive mucocutaneous infection due to C. cassiicola and we searched for mutations in CARD9.

methodsWe reviewed the medical records and immunological findings in the patient. Microbiologic tests and biopsies were performed. Whole-exome sequencing (WES) was made and Sanger sequencing was used to confirm the CARD9 mutations in the patient and her family. Finally, CARD9 protein expression was evaluated in peripheral blood mononuclear cells (PBMC) by western blotting.

resultsThe patient was affected by a large, indurated, foul-smelling, and verrucous ulcerated lesion on the left side of the face with extensive necrosis and crusting, due to a C. cassiicola infectious disease. WES led to the identification of compound heterozygous mutations in the patient consisting of the previously reported p.Q289* nonsense (c.865C > T, exon 6) mutation, and a novel deletion (c.23_29del; p.Asp8Alafs10*) leading to a frameshift and a premature stop codon in exon 2. CARD9 protein expression was absent in peripheral blood mononuclear cells from the patient.

conclusionWe describe here compound heterozygous loss-of-expression mutations in CARD9 leading to severe deep and destructive mucocutaneous phaeohyphomycosis due to C. cassiicola in a Colombian child.

Indexed as

AscomycotaGenetic Predisposition to DiseaseHeterozygoteInvasive Fungal InfectionsMutationAge FactorsAge of OnsetBiomarkersCARD Signaling Adaptor ProteinsChild, PreschoolColombiaComputational BiologyDNA Mutational AnalysisExome SequencingFemaleHumansBiomarkersCARD9 protein, humanCARD Signaling Adaptor ProteinsCARD9compound heterozygous mutationsCorynespora cassiicolainborn errors of immunityinvasive fungal diseasePhaeohyphomycosisprimary immunodeficiency

Identifiers

PMID30264381
OpenAlexW2893909331

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.