{"id":"https://openalex.org/W7223299501","doi":"https://doi.org/10.1016/j.idcr.2026.e02813","title":"Recurrent bacterial skin infection as a diagnostic clue to Wiskott-Aldrich syndrome in a resource-limited setting: A case report","display_name":"Recurrent bacterial skin infection as a diagnostic clue to Wiskott-Aldrich syndrome in a resource-limited setting: A case report","publication_year":2026,"publication_date":"2026-01-01","ids":{"openalex":"https://openalex.org/W7223299501","doi":"https://doi.org/10.1016/j.idcr.2026.e02813","pmid":"https://pubmed.ncbi.nlm.nih.gov/42999703","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13744337"},"language":"en","primary_location":{"id":"doi:10.1016/j.idcr.2026.e02813","doi":"https://doi.org/10.1016/j.idcr.2026.e02813","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.idcr.2026.e02813","pdf_url":null,"source":{"id":"https://openalex.org/S2898460781","display_name":"IDCases","issn_l":"2214-2509","issn":["2214-2509"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","ki-jl-1","norway-1","poland-40"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IDCases","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1016/j.idcr.2026.e02813","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5066528673","display_name":"Gabrielle Obeng-Koranteng","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2803053305","display_name":"Korle Bu Teaching Hospital","ror":"https://ror.org/01vzp6a32","country_code":"GH","type":"healthcare","lineage":["https://openalex.org/I2803053305"]}],"countries":["GH"],"is_corresponding":false,"raw_author_name":"Gabrielle Obeng-Koranteng","raw_affiliation_strings":["Department of Child Health, Korle Bu Teaching Hospital, Accra, Ghana"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Child Health, Korle Bu Teaching Hospital, Accra, Ghana","institution_ids":["https://openalex.org/I2803053305"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028977338","display_name":"Joycelyn Assimeng Dame","orcid":"https://orcid.org/0000-0002-5197-023X","observed_orcids":["https://orcid.org/0000-0002-5197-023X"]},"institutions":[{"id":"https://openalex.org/I138690464","display_name":"University of Ghana","ror":"https://ror.org/01r22mr83","country_code":"GH","type":"education","lineage":["https://openalex.org/I138690464"]},{"id":"https://openalex.org/I2803053305","display_name":"Korle Bu Teaching Hospital","ror":"https://ror.org/01vzp6a32","country_code":"GH","type":"healthcare","lineage":["https://openalex.org/I2803053305"]}],"countries":["GH"],"is_corresponding":true,"raw_author_name":"Joycelyn Assimeng Dame","raw_affiliation_strings":["Department of Child Health, Korle Bu Teaching Hospital, Accra, Ghana","Department of Child Health, University of Ghana Medical School, College of Health Sciences, Accra, Ghana"],"raw_orcid":"https://orcid.org/0000-0002-5197-023X","affiliations":[{"raw_affiliation_string":"Department of Child Health, Korle Bu Teaching Hospital, Accra, Ghana","institution_ids":["https://openalex.org/I2803053305"]},{"raw_affiliation_string":"Department of Child Health, University of Ghana Medical School, College of Health Sciences, Accra, Ghana","institution_ids":["https://openalex.org/I138690464"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159337150","display_name":"Taiba Afaa","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I138690464","display_name":"University of Ghana","ror":"https://ror.org/01r22mr83","country_code":"GH","type":"education","lineage":["https://openalex.org/I138690464"]},{"id":"https://openalex.org/I2803053305","display_name":"Korle Bu Teaching Hospital","ror":"https://ror.org/01vzp6a32","country_code":"GH","type":"healthcare","lineage":["https://openalex.org/I2803053305"]}],"countries":["GH"],"is_corresponding":false,"raw_author_name":"Taiba Jibril Afaa","raw_affiliation_strings":["Department of Child Health, Korle Bu Teaching Hospital, Accra, Ghana","Department of Child Health, University of Ghana Medical School, College of Health Sciences, Accra, Ghana"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Child Health, Korle Bu Teaching Hospital, Accra, Ghana","institution_ids":["https://openalex.org/I2803053305"]},{"raw_affiliation_string":"Department of Child Health, University of Ghana Medical School, College of Health Sciences, Accra, Ghana","institution_ids":["https://openalex.org/I138690464"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081657882","display_name":"Bright Richard. Danyoh","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2803053305","display_name":"Korle Bu Teaching Hospital","ror":"https://ror.org/01vzp6a32","country_code":"GH","type":"healthcare","lineage":["https://openalex.org/I2803053305"]}],"countries":["GH"],"is_corresponding":false,"raw_author_name":"Richard Bright Danyoh","raw_affiliation_strings":["Department of Child Health, Korle Bu Teaching Hospital, Accra, Ghana"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Child Health, Korle Bu Teaching Hospital, Accra, Ghana","institution_ids":["https://openalex.org/I2803053305"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5136205755","display_name":"Ebenezer Badoe","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I138690464","display_name":"University of Ghana","ror":"https://ror.org/01r22mr83","country_code":"GH","type":"education","lineage":["https://openalex.org/I138690464"]},{"id":"https://openalex.org/I2803053305","display_name":"Korle Bu Teaching Hospital","ror":"https://ror.org/01vzp6a32","country_code":"GH","type":"healthcare","lineage":["https://openalex.org/I2803053305"]}],"countries":["GH"],"is_corresponding":false,"raw_author_name":"Ebenezer Badoe","raw_affiliation_strings":["Department of Child Health, Korle Bu Teaching Hospital, Accra, Ghana","Department of Child Health, University of Ghana Medical School, College of Health Sciences, Accra, Ghana"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Child Health, Korle Bu Teaching Hospital, Accra, Ghana","institution_ids":["https://openalex.org/I2803053305"]},{"raw_affiliation_string":"Department of Child Health, University of Ghana Medical School, College of Health Sciences, Accra, Ghana","institution_ids":["https://openalex.org/I138690464"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5028977338"],"corresponding_institution_ids":["https://openalex.org/I138690464","https://openalex.org/I2803053305"],"apc_list":{"value":1370,"currency":"USD","value_usd":1370},"apc_paid":{"value":1370,"currency":"USD","value_usd":1370},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.7414363,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"46","issue":null,"first_page":"e02813","last_page":"e02813"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11725","display_name":"Immunodeficiency and Autoimmune Disorders","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2403","display_name":"Immunology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T11725","display_name":"Immunodeficiency and Autoimmune Disorders","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2403","display_name":"Immunology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T12919","display_name":"Blood disorders and treatments","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10746","display_name":"Platelet Disorders and Treatments","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2720","display_name":"Hematology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/wiskott-aldrich-syndrome","display_name":"Wiskott-Aldrich syndrome","score":1.0},{"id":"https://openalex.org/keywords/soft-tissue-abscess","display_name":"soft tissue abscess","score":0.7889999747276306},{"id":"https://openalex.org/keywords/atopic-dermatitis","display_name":"atopic dermatitis","score":0.8579999804496765},{"id":"https://openalex.org/keywords/bleeding-manifestations","display_name":"bleeding manifestations","score":0.7409999966621399},{"id":"https://openalex.org/keywords/primary-immunodeficiency","display_name":"primary immunodeficiency","score":0.8309999704360962},{"id":"https://openalex.org/keywords/resource-limited-settings","display_name":"resource-limited settings","score":0.6399999856948853},{"id":"https://openalex.org/keywords/delayed-diagnosis","display_name":"delayed diagnosis","score":0.5879999995231628},{"id":"https://openalex.org/keywords/whole-genome-sequencing","display_name":"whole genome sequencing","score":0.6159999966621399},{"id":"https://openalex.org/keywords/secondary-prophylaxis","display_name":"secondary prophylaxis","score":0.609000027179718},{"id":"https://openalex.org/keywords/pediatric-immunodeficiency","display_name":"pediatric immunodeficiency","score":0.5770000219345093}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9333999752998352},{"id":"https://openalex.org/C2775983603","wikidata":"https://www.wikidata.org/wiki/Q2458539","display_name":"Skin infection","level":4,"score":0.6392999887466431},{"id":"https://openalex.org/C16005928","wikidata":"https://www.wikidata.org/wiki/Q171171","display_name":"Dermatology","level":1,"score":0.5863999724388123},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.4284000098705292},{"id":"https://openalex.org/C2988168687","wikidata":"https://www.wikidata.org/wiki/Q949302","display_name":"Skin lesion","level":2,"score":0.34049999713897705},{"id":"https://openalex.org/C2780439664","wikidata":"https://www.wikidata.org/wiki/Q7535376","display_name":"Skin biopsy","level":3,"score":0.29499998688697815},{"id":"https://openalex.org/C501593827","wikidata":"https://www.wikidata.org/wiki/Q12187","display_name":"Antibiotics","level":2,"score":0.2928999960422516},{"id":"https://openalex.org/C2908866784","wikidata":"https://www.wikidata.org/wiki/Q34879","display_name":"Staphylococcal Skin Infections","level":5,"score":0.2867000102996826},{"id":"https://openalex.org/C2777238321","wikidata":"https://www.wikidata.org/wiki/Q876887","display_name":"Cellulitis","level":2,"score":0.2791000008583069},{"id":"https://openalex.org/C2780801072","wikidata":"https://www.wikidata.org/wiki/Q837512","display_name":"Differential diagnosis","level":2,"score":0.2685999870300293},{"id":"https://openalex.org/C203014093","wikidata":"https://www.wikidata.org/wiki/Q101929","display_name":"Immunology","level":1,"score":0.25619998574256897},{"id":"https://openalex.org/C2775934546","wikidata":"https://www.wikidata.org/wiki/Q179991","display_name":"Biopsy","level":2,"score":0.25}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1016/j.idcr.2026.e02813","doi":"https://doi.org/10.1016/j.idcr.2026.e02813","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.idcr.2026.e02813","pdf_url":null,"source":{"id":"https://openalex.org/S2898460781","display_name":"IDCases","issn_l":"2214-2509","issn":["2214-2509"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","ki-jl-1","norway-1","poland-40"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IDCases","raw_type":"journal-article"},{"id":"doi:10.2139/ssrn.6770869","doi":"https://doi.org/10.2139/ssrn.6770869","is_oa":true,"landing_page_url":"https://doi.org/10.2139/ssrn.6770869","pdf_url":null,"source":{"id":"https://openalex.org/S4210172589","display_name":"SSRN Electronic Journal","issn_l":"1556-5068","issn":["1556-5068"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1318003438","host_organization_name":"RELX Group (Netherlands)","host_organization_lineage":["https://openalex.org/I1318003438"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"},{"id":"pmid:42999703","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42999703","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IDCases","raw_type":"Case Reports"},{"id":"pmh:oai:doaj.org/article:7cc8a0339ad24d218a1a93fd782e9143","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/7cc8a0339ad24d218a1a93fd782e9143","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"IDCases, Vol 46, Iss , Pp e02813-","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1016/j.idcr.2026.e02813","doi":"https://doi.org/10.1016/j.idcr.2026.e02813","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.idcr.2026.e02813","pdf_url":null,"source":{"id":"https://openalex.org/S2898460781","display_name":"IDCases","issn_l":"2214-2509","issn":["2214-2509"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","ki-jl-1","norway-1","poland-40"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"IDCases","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":19,"referenced_works":["https://openalex.org/W1989604716","https://openalex.org/W2035589350","https://openalex.org/W2048538932","https://openalex.org/W2066270290","https://openalex.org/W2616537627","https://openalex.org/W2766769159","https://openalex.org/W2921913141","https://openalex.org/W2938307622","https://openalex.org/W3014992883","https://openalex.org/W3152847702","https://openalex.org/W3174128084","https://openalex.org/W3195004148","https://openalex.org/W4210347081","https://openalex.org/W4247419207","https://openalex.org/W4288724458","https://openalex.org/W4389886423","https://openalex.org/W4409324156","https://openalex.org/W4411142712","https://openalex.org/W7130648916"],"related_works":["https://openalex.org/W7161290358","https://openalex.org/W4288724458","https://openalex.org/W3165385074","https://openalex.org/W3112354339","https://openalex.org/W4411659246","https://openalex.org/W7095146347","https://openalex.org/W3158595962","https://openalex.org/W1534619085","https://openalex.org/W2945355381","https://openalex.org/W1881098016"],"abstract_inverted_index":{"Wiskott-Aldrich":[0],"syndrome":[1],"(WAS)":[2],"is":[3,173],"a":[4,70,100,148],"rare":[5],"X-linked":[6],"inborn":[7,161],"error":[8,162],"of":[9,57,159,163,185],"immunity":[10],"characterized":[11],"by":[12],"microthrombocytopenia,":[13],"eczema,":[14,151],"and":[15,20,24,40,63,75,92,94,119,125,144,154,182],"immune":[16],"dysfunction.":[17],"In":[18,167],"low-":[19],"middle-income":[21],"settings,":[22,169],"diagnosis":[23],"definitive":[25],"treatment":[26],"are":[27],"often":[28],"delayed":[29],"owing":[30],"to":[31,34,132],"limited":[32],"access":[33],"specialized":[35],"immunologic":[36],"assays,":[37],"genetic":[38],"testing,":[39],"hematopoietic":[41],"stem":[42],"cell":[43],"transplantation.":[44],"A":[45],"4-year-old":[46],"boy":[47,149],"from":[48,54],"Ghana":[49],"had":[50],"generalized":[51],"eczematous":[52],"dermatitis":[53],"4":[55],"months":[56],"age,":[58],"with":[59,69,84,88,150],"recurrent":[60,138],"gum":[61],"bleeding":[62,152],"intermittent":[64],"hematochezia.":[65],"He":[66,110],"was":[67],"admitted":[68],"right":[71],"upper":[72],"arm":[73],"abscess":[74],"severe":[76,82,141],"pallor":[77],"on":[78],"examination.":[79],"Testing":[80],"revealed":[81],"microthrombocytopenia":[83,155],"anemia,":[85],"elevated":[86],"IgE":[87],"low":[89],"IgM":[90],"levels,":[91],"T-":[93],"B-cell":[95],"lymphopenia.":[96],"Whole-genome":[97],"sequencing":[98],"identified":[99],"pathogenic":[101],"hemizygous":[102],"WAS":[103],"variant":[104],"(c.1001delG;":[105],"p.Gly334Valfs*111),":[106],"confirming":[107],"classic":[108],"WAS.":[109,166],"received":[111],"surgical":[112],"drainage,":[113],"blood":[114],"products,":[115],"antibiotics,":[116],"eczema-directed":[117],"therapy,":[118,181],"secondary":[120],"antimicrobial":[121,180],"prophylaxis.":[122],"Intravenous":[123],"immunoglobulin":[124],"topical":[126],"tacrolimus":[127],"were":[128],"not":[129],"used":[130],"due":[131],"cost.":[133],"This":[134],"case":[135],"highlights":[136],"that":[137],"or":[139],"unusually":[140],"bacterial":[142],"skin":[143],"soft-tissue":[145],"infections":[146],"in":[147],"manifestations,":[153],"should":[156],"prompt":[157,176],"consideration":[158],"an":[160],"immunity,":[164],"including":[165],"resource-limited":[168],"recognizing":[170],"this":[171],"triad":[172],"critical":[174],"for":[175],"microbiological":[177],"evaluation,":[178],"targeted":[179],"early":[183],"initiation":[184],"infection-prevention":[186],"strategies.":[187]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-10-24T00:00:00"}
