[Chronic Granulomatous Disease: A Rare Differential Diagnosis in Recurrent Pulmonary Infections in Adults]. / Septische Granulomatose als seltene Differenzialdiagnose rezidivierender pulmonaler Infektionen bei Erwachsenen.

Chronic granulomatous disease (CGD) should be considered as a differential diagnosis in children and adolescents with frequent infections, especially when caused by certain specific pathogens.This case report describes a 64-year-old female with multiple recurrent and complicated bronchopulmonary infections, caused by common, but also rare pathogens, autoimmune phenomena, malignancies and recurrent organizing pneumonia (OP) with granulomas. Finally, the patient was diagnosed with p47phox-deficient chronic granulomatous disease (CGD).Individuals with a primary immunodeficiency may survive multiple complications and may be diagnosed at an advanced age especially if the affected structure shows residual activity. When confronted with patients with recurrent bronchopulmonary infections, especially with certain specific rare pathogens, in combination with organizing pulmonary granulomas as well as autoimmune phenomena, CGD should be considered even in elderly patients. Delayed diagnosis significantly increases mortality and morbidity in such cases.

[Cultured lymphocytes in chronic alcoholics]. / Lymphozytenkulturen bei chronischen Alkoholikern.

Lymphocytes were isolated from the peripheral blood of 80 chronic alcoholics without an evident liver damage and filled up with 4 different mitogens. The DNA synthesis was investigated by means of the 3H thymidine incorporation rate. They were referred to a group of 15 healthy test persons. An increased proliferation rate of B-lymphocytes could be demonstrated, whereas there was no evidence for a change in the stimulatibility of T-lymphocytes. It was only the direct impact of ethyl alcohol on lymphocytes that produced a significant decrease in the ability of T-cell reactivity, whereas a further increase of stimulatibility could be observed in B-cells. Our findings allow the conclusion to be drawn that an immediate toxic impact of ethanol on lymphocytes can be identified in chronic alcoholics without manifest liver damage.