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CLINICAL CASE REPORT
Year : 2021  |  Volume : 34  |  Issue : 1  |  Page : 24-26

Wiskott–Aldrich syndrome with possible congenital Cytomegalovirus infection: A diagnostic dilemma


1 Department of Infectious Disease, Ali Asghar Children's Hospital, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran
2 Department of Allergy and Immunology, Ali Asghar Children's Hospital, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran
3 Department of NeuroImaging Network, Universal Scientific Education and Research Network, Tehran, Iran
4 Department of Medical Genetics and Molecular Biology, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran
5 Network of Immunity in Infection, Malignancy and Autoimmunity, Universal Scientific Education and Research Network, Tehran, Iran

Correspondence Address:
Ahmad Bahrami
Department of Allergy and Immunology, Ali Asghar Children's Hospital, Faculty of Medicine, Iran University of Medical Sciences, Tehran
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-258X.323441

Wiskott–Aldrich syndrome (WAS) is an X-linked recessive disorder, characterized by thrombocytopenia, eczema and recurrent infections. We report a 4-month-old boy who presented with respiratory distress, petechiae, organomegaly and eczema. He was admitted to the paediatric intensive care unit because of severe respiratory distress due to Cytomegalovirus (CMV) infection. As peripheral blood smear showed microthrombocytopenia, Sanger gene sequencing was performed, which confirmed the diagnosis of WAS. This rare combination of possible congenital CMV infection in the background of WAS, misled the initial diagnosis.


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