Evidence map›Paper›PMID 32020378›Full record

ReviewJournal of clinical immunology2020

Invasive Saprochaete capitata Infection in a Patient with Autosomal Recessive CARD9 Deficiency and a Review of the Literature.

Baran Erman, Sinem Fırtına, Başak Adaklı Aksoy, Selime Aydogdu, Gonca Erköse Genç, Öner Doğan, Ceyhun Bozkurt, Tunç Fışgın, Funda Erol Çipe

Abstract readCase ReportsReview
PubMed Publisher
In one paragraph

Review in Journal of clinical immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
0.3field-weighted citation impact, top 32% 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

17 citing papers in PubMed, 19 citations in OpenAlex.

  1. Review
  2. Article
  3. Human immunity to fungal infections.The Journal of experimental medicine · 2025
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  7. Article
  8. Taxonomic revision ofMycology · 2024
    Article
  9. Necrotizing pneumonia due toMedical mycology case reports · 2023
    Article
  10. Review
  11. Invasive Rhinosinusitis Caused byJournal of fungi (Basel, Switzerland) · 2022
    Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. InvasivePathogens (Basel, Switzerland) · 2020
    Review
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

9 authors at 4 institutions in 1 country.

Baran ErmanDepartment of Molecular Biology and Genetics, Istinye University, Istanbul, Turkey. baranerman@gmail.com.ORCID 0000-0001-9398-8465
Sinem FırtınaDepartment of Molecular Biology and Genetics, Istinye University, Istanbul, Turkey.
Başak Adaklı AksoyDepartment of Pediatrics, Istinye University Faculty of Medicine, Istanbul, Turkey.
Selime AydogduDepartment of Hematology-Oncology, Medical Park Hospital, Istanbul, Turkey.
Gonca Erköse GençDepartment of Medical Microbiology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Öner DoğanDepartment of Pathology, Medical School of Koc University, Istanbul, Turkey.
Ceyhun BozkurtDepartment of Pediatrics, Istinye University Faculty of Medicine, Istanbul, Turkey.
Tunç FışgınDepartment of Pediatrics, Altınbaş University Faculty of Medicine, Istanbul, Turkey.
Funda Erol ÇipeDepartment of Pediatrics, Istinye University Faculty of Medicine, Istanbul, Turkey.
Istinye University · TRAltınbaş University · TRIstanbul University · TRKoç University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAutosomal recessive (AR) CARD9 deficiency is an inherited immune disorder which results in impaired innate immunity against various fungi. Superficial and invasive fungal infections, mainly caused by Candida or Trichophyton species, are the hallmark of CARD9 deficiency. Together with the increasing number of CARD9-deficient patients reported, different pathogenic fungal species have been described such as Phialophora, Exophiala, Corynespora, Aureobasidium, and Ochroconis. Saprochaete capitata is an opportunistic infectious agent in immunocompromised patients and is a common cause of invasive fungal disease in patients with hematological malignancies. In this study, we investigated the causative genetic defect in a patient with S. capitata fungal infection which disseminated to lymph nodes and common bile duct.

methodsThe identification of the isolated yeast strain was made by direct microscopic examination and confirmed by internal transcribed spacer (ITS) sequencing. We applied whole exome sequencing to search for the disease-causing mutation. Sanger sequencing was used to validate the mutation in the patient and his parents.

resultsS. capitata was isolated from the biopsy specimen as the causative microorganism responsible for the invasive fungal disease in the patient. Whole exome sequencing revealed a homozygous c.883C > T, (p.Q295*) mutation in CARD9, confirmed by Sanger sequencing.

conclusionsThis is the first report of invasive Saprochaete infection associated with autosomal recessive (AR) CARD9 deficiency in the literature and thereby further extends the spectrum of fungal diseases seen in these patients.

Indexed as

AdolescentCandidiasis, Chronic MucocutaneousCARD Signaling Adaptor ProteinsCholestasisChromosome DisordersExome SequencingGenes, RecessiveHumansImmunocompromised HostInvasive Fungal InfectionsIraqMaleSaccharomycetalesSequence DeletionCARD9 protein, humanCARD Signaling Adaptor ProteinsCARD9 deficiencyPrimary immunodeficiencySaprochaete infectionwhole exome sequencing

Identifiers

PMID32020378
OpenAlexW3004718893

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.