Chronic Granulomatous Disease
(CGD; Fatal Granulomatosis of Childhood; Chronic Granulomatous Disease of Childhood; Progressive Septic Granulomatosis)
Pronounced: Kron-ik gran-u-lo-ma-tus disease
by Diana Kohnle
Chronic granulomatous disease (CGD) is when a specific gene from both parents passes to the child. This gene causes phagocytic cells to develop abnormally in the immune system. Phagocytic cells normally kill bacteria. With this disease, these cells cannot work properly. As a result, the body cannot fight some types of bacteria. It also makes infections likely to return.
CGD is a rare condition.
The disease is caused by one of 4 genes. Three of the genetic defects are recessive. This means 2 of these defective genes have to be present for the disease to develop—1 from each parent. The other gene is located on the X chromosome. It is transmitted from mother to son.
Risk Factors TOP
CGD is more common in men.
Having parents who have the recessive trait increases a child's risk of CGD.
Typically, symptoms begin to appear in childhood. In some, they may not appear until the teen years.
You will be asked about your symptoms and medical history. A physical exam will be done.
You may have your bodily fluids and tissues tested. This can be done with:
Images may be taken of your bodily structures. This can be done with:
Talk with your doctor about the best plan for you. Treatment options include:
You doctor may prescribe antibiotics to prevent and treat infections.
Bone Marrow Transplantation
Bone marrow transplantation may be an option. A suitable donor will need to be found. It is a definitive cure.
Surgery may involve the removal of abscesses.
Some live viral vaccines should be avoided. You should talk to your doctor before receiving one.
CGD is an inherited disease. There are no preventive steps to reduce the risk of being born with the disease. Genetic counseling may be helpful. It can be used to detect carrier status in woman. Early diagnosis is vital. It will allow for early treatment. The bone marrow transplant donor search can also be started.
Genetics Home Reference
National Organization for Rare Disorders
Sick Kids—The Hospital for Sick Children
Bernhisel-Broadbent J, Camargo EE, et al. Recombinant human interferon-gamma as adjunct therapy for Aspergillus infection in a patient with chronic granulomatous disease. J Infect Dis. 1991;163(4):908-911.
Chronic granulomatous disease. Genetics Home Reference website. Available at:
...(Click grey area to select URL)
Updated January 2016. Accessed December 27, 2017.
Chronic granulomatous disease and other phagocytic cell disorders. Immune Deficiency Foundation website. Available at:
...(Click grey area to select URL)
Accessed December 27, 2017.
Dinauer MC, Lekstrom-Himes JA, et al. Inherited Neutrophil Disorders: Molecular Basis and New Therapies. Hematology. 2000;303.
Lekstrom-Himes JA, Gallin JI. Immunodeficiency diseases caused by defects in phagocytes. N Engl J Med. 2000; 343:1703.
Pogrebniak HW, Gallin JI, et al. Surgical management of pulmonary infections in chronic granulomatous disease of childhood. Ann Thorac Surg. 1993;55(4):844-849.
Last reviewed December 2017 by EBSCO Medical Review BoardKari Kassir, MD
Last Updated: 12/20/2014
EBSCO Information Services is fully accredited by URAC. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
To send comments or feedback to our Editorial Team regarding the content please email us at firstname.lastname@example.org. Our Health Library Support team will respond to your email request within 2 business days.