Successful bone marrow transplantation in a patient with Omenn syndrome, a rare variant of severe combined immunodeficiency syndrome: A case report

<h3>Key Clinical Message</h3><p dir="ltr">Bone marrow transplantation (BMT) saves lives in Omenn syndrome, a severe immunodeficiency disorder. Timely genetic diagnosis and matched donor BMT are crucial. Emphasis on newborn screening and multidisciplinary care improves out...

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Main Author: Ubaid Khan (12476186) (author)
Other Authors: Muhammad Umer (1989400) (author), Aiman Muhammad (19181171) (author), Arej Iltaf (22045916) (author), Abdulqadir J. Nashwan (11659453) (author)
Published: 2024
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author Ubaid Khan (12476186)
author2 Muhammad Umer (1989400)
Aiman Muhammad (19181171)
Arej Iltaf (22045916)
Abdulqadir J. Nashwan (11659453)
author2_role author
author
author
author
author_facet Ubaid Khan (12476186)
Muhammad Umer (1989400)
Aiman Muhammad (19181171)
Arej Iltaf (22045916)
Abdulqadir J. Nashwan (11659453)
author_role author
dc.creator.none.fl_str_mv Ubaid Khan (12476186)
Muhammad Umer (1989400)
Aiman Muhammad (19181171)
Arej Iltaf (22045916)
Abdulqadir J. Nashwan (11659453)
dc.date.none.fl_str_mv 2024-08-07T03:00:00Z
dc.identifier.none.fl_str_mv 10.1002/ccr3.9295
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Successful_bone_marrow_transplantation_in_a_patient_with_Omenn_syndrome_a_rare_variant_of_severe_combined_immunodeficiency_syndrome_A_case_report/29899109
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biological sciences
Genetics
Biomedical and clinical sciences
Immunology
Paediatrics
bone marrow transplantation
cytomegalovirus
immunodeficiency
Omenn syndrome
dc.title.none.fl_str_mv Successful bone marrow transplantation in a patient with Omenn syndrome, a rare variant of severe combined immunodeficiency syndrome: A case report
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Key Clinical Message</h3><p dir="ltr">Bone marrow transplantation (BMT) saves lives in Omenn syndrome, a severe immunodeficiency disorder. Timely genetic diagnosis and matched donor BMT are crucial. Emphasis on newborn screening and multidisciplinary care improves outcomes for infants with inherited disorders. Prompt intervention and comprehensive management are vital for a successful transplant outcome.</p><p dir="ltr">Omenn syndrome represents a severe variant of combined immunodeficiency characterized by disregulated immune responses and susceptibility to recurrent infections. We present the case of a 3‐month‐old female infant initially presenting with upper respiratory infection symptoms and a diffuse rash, unresponsive to local treatment. At 4 months of age, the patient underwent allogeneic bone marrow transplantation (BMT) utilizing stem cells from a fully matched sibling donor. Pre‐transplant conditioning included antimicrobial prophylaxis and supportive therapies. Following BMT, the patient received immunosuppressive medications to prevent graft rejection and graft‐versus‐host disease. Clinical monitoring post‐transplant showed timely neutrophil and platelet engraftment, with subsequent follow‐up demonstrating stable clinical parameters and negative cytomegalovirus status. The case highlights the importance of timely diagnosis and treatment in managing severe immunodeficiency disorders, demonstrating the potential for successful outcomes with appropriate timely interventions. Regular monitoring and follow‐up appointments were crucial in ensuring the success of the treatment. This case also emphasizes the significance of multidisciplinary care and genetic testing in identifying and managing rare immunodeficiency disorders. The successful outcome in this case provides hope for improved treatment options and better patient outcomes in the future.</p><h2>Other Information</h2><p dir="ltr">Published in: Clinical Case Reports<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1002/ccr3.9295" target="_blank">https://dx.doi.org/10.1002/ccr3.9295</a></p>
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identifier_str_mv 10.1002/ccr3.9295
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/29899109
publishDate 2024
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spelling Successful bone marrow transplantation in a patient with Omenn syndrome, a rare variant of severe combined immunodeficiency syndrome: A case reportUbaid Khan (12476186)Muhammad Umer (1989400)Aiman Muhammad (19181171)Arej Iltaf (22045916)Abdulqadir J. Nashwan (11659453)Biological sciencesGeneticsBiomedical and clinical sciencesImmunologyPaediatricsbone marrow transplantationcytomegalovirusimmunodeficiencyOmenn syndrome<h3>Key Clinical Message</h3><p dir="ltr">Bone marrow transplantation (BMT) saves lives in Omenn syndrome, a severe immunodeficiency disorder. Timely genetic diagnosis and matched donor BMT are crucial. Emphasis on newborn screening and multidisciplinary care improves outcomes for infants with inherited disorders. Prompt intervention and comprehensive management are vital for a successful transplant outcome.</p><p dir="ltr">Omenn syndrome represents a severe variant of combined immunodeficiency characterized by disregulated immune responses and susceptibility to recurrent infections. We present the case of a 3‐month‐old female infant initially presenting with upper respiratory infection symptoms and a diffuse rash, unresponsive to local treatment. At 4 months of age, the patient underwent allogeneic bone marrow transplantation (BMT) utilizing stem cells from a fully matched sibling donor. Pre‐transplant conditioning included antimicrobial prophylaxis and supportive therapies. Following BMT, the patient received immunosuppressive medications to prevent graft rejection and graft‐versus‐host disease. Clinical monitoring post‐transplant showed timely neutrophil and platelet engraftment, with subsequent follow‐up demonstrating stable clinical parameters and negative cytomegalovirus status. The case highlights the importance of timely diagnosis and treatment in managing severe immunodeficiency disorders, demonstrating the potential for successful outcomes with appropriate timely interventions. Regular monitoring and follow‐up appointments were crucial in ensuring the success of the treatment. This case also emphasizes the significance of multidisciplinary care and genetic testing in identifying and managing rare immunodeficiency disorders. The successful outcome in this case provides hope for improved treatment options and better patient outcomes in the future.</p><h2>Other Information</h2><p dir="ltr">Published in: Clinical Case Reports<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1002/ccr3.9295" target="_blank">https://dx.doi.org/10.1002/ccr3.9295</a></p>2024-08-07T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1002/ccr3.9295https://figshare.com/articles/journal_contribution/Successful_bone_marrow_transplantation_in_a_patient_with_Omenn_syndrome_a_rare_variant_of_severe_combined_immunodeficiency_syndrome_A_case_report/29899109CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/298991092024-08-07T03:00:00Z
spellingShingle Successful bone marrow transplantation in a patient with Omenn syndrome, a rare variant of severe combined immunodeficiency syndrome: A case report
Ubaid Khan (12476186)
Biological sciences
Genetics
Biomedical and clinical sciences
Immunology
Paediatrics
bone marrow transplantation
cytomegalovirus
immunodeficiency
Omenn syndrome
status_str publishedVersion
title Successful bone marrow transplantation in a patient with Omenn syndrome, a rare variant of severe combined immunodeficiency syndrome: A case report
title_full Successful bone marrow transplantation in a patient with Omenn syndrome, a rare variant of severe combined immunodeficiency syndrome: A case report
title_fullStr Successful bone marrow transplantation in a patient with Omenn syndrome, a rare variant of severe combined immunodeficiency syndrome: A case report
title_full_unstemmed Successful bone marrow transplantation in a patient with Omenn syndrome, a rare variant of severe combined immunodeficiency syndrome: A case report
title_short Successful bone marrow transplantation in a patient with Omenn syndrome, a rare variant of severe combined immunodeficiency syndrome: A case report
title_sort Successful bone marrow transplantation in a patient with Omenn syndrome, a rare variant of severe combined immunodeficiency syndrome: A case report
topic Biological sciences
Genetics
Biomedical and clinical sciences
Immunology
Paediatrics
bone marrow transplantation
cytomegalovirus
immunodeficiency
Omenn syndrome