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用依那西普治疗的类风湿关节炎患者发生内脏利什曼病感染。

Visceral leishmaniasis infection in a patient with rheumatoid arthritis treated with etanercept.

作者信息

Bagalas V, Kioumis I, Argyropoulou P, Patakas D

机构信息

Department of Pulmonary Disease, Aristotle University of Thessaloniki Medical School-G. Papanikolaou Hospital, Exohi, Thessaloniki, 57010, Greece.

出版信息

Clin Rheumatol. 2007 Aug;26(8):1344-5. doi: 10.1007/s10067-006-0356-5. Epub 2006 Jul 25.

DOI:10.1007/s10067-006-0356-5
PMID:16865310
Abstract

Visceral leishmaniasis (VL) is a severe disease that can develop in immunocompromised patients. Antitumor necrosis factor-alpha (TNF-alpha) treatment of rheumatoid arthritis can result in clinical benefits, but with an increased risk of opportunistic infections. Leishmania infection in patients treated with TNF-alpha antagonists is extremely rare; for this reason, we report a patient with VL after etanercept treatment who had an unfavorable outcome.

摘要

内脏利什曼病(VL)是一种可在免疫功能低下患者中发生的严重疾病。类风湿关节炎的抗肿瘤坏死因子-α(TNF-α)治疗可带来临床益处,但机会性感染风险增加。接受TNF-α拮抗剂治疗的患者感染利什曼原虫极为罕见;因此,我们报告一例接受依那西普治疗后发生VL且预后不良的患者。

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本文引用的文献

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Visceral leishmaniasis infection in a rheumatoid arthritis patient treated with infliximab.一名接受英夫利昔单抗治疗的类风湿关节炎患者发生内脏利什曼病感染。
Clin Exp Rheumatol. 2005 Nov-Dec;23(6):891-2.
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肿瘤坏死因子α中和对寄生虫负荷没有直接影响,但会导致人类内脏利什曼病患者脾脏细胞的γ干扰素产生受损。
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