%0 Case Reports %T Recurrent Staphylococcus aureus abscess and fatal pneumococcal septicemia due to IRAK-4 deficiency. %A Shichijo K %A Ogose T %A Kubota M %A Tomimoto A %A Kondo R %A Taniguchi T %A Takahashi A %A Nakatsu T %A Urano Y %A Watanabe T %J Pediatr Int %V 57 %N 6 %D Dec 2015 %M 26711917 %F 1.617 %R 10.1111/ped.12722 %X We describe the case of an infant with recurrent episodes of staphylococcal skin abscess and subsequent lethal pneumococcal meningitis/septicemia due to interleukin-1 receptor-associated kinase 4 (IRAK-4) deficiency. In this case, systemic signs of inflammatory response were poor and delayed. Among all other reported cases of IRAK-4 deficiency, none involved severe viral or fungal disease, and the range of infecting bacteria was narrow.