Concomitant methicillin‐resistant Staphylococcus aureus pericaditis,Cryptococcus neoformans pneumonia and invasive cytomegalovirus pneumonitis in a lupus patient with rare homozygous structural mutant variant at codon 54 of mannose binding lectin gene

Mannose‐binding lectin (MBL) is a mediator of innate immunity. Individuals with exon 1 structural mutant genotypes are associated with unusual and recurrent infections. We describe a lupus patient who had life‐threatening, concomitant infections – methicillin‐resistant staphylococcal aureus (MRSA) pericarditis with tamponade, cryptococcal pneumonia and cytomegalovirus (CMV) pneumonitis. Tests were negative for complements or immunoglobulins deficiencies. There was no human immunodeficiency virus (HIV) infection. She has a homozygous structural mutant variant at codon 54 of the MBL gene. We surmised the severe multiple infections are related to this rare mutant variant, and may be triggered off by corticosteroid therapy.