Czaja Christopher A, Merkel Patricia A, Chan Edward D, Lenz Laurel L, Wolf Molly L, Alam Rafeul, Frankel Stephen K, Fischer Aryeh, Gogate Shaila, Perez-Velez Carlos M, Knight Vijaya
Division of Mycobacterial and Respiratory Infections.
Clin Infect Dis. 2014 Mar;58(6):e115-8. doi: 10.1093/cid/cit809. Epub 2013 Dec 11.
An acquired immune deficiency due to interferon gamma (IFN-γ) autoantibodies was diagnosed in a 78-year-old Japanese man with treatment-refractory disseminated nontuberculous mycobacterial infection. In addition to standard antimycobacterial therapy, he was successfully treated with rituximab to eliminate B cells and thereby the autoantibody. Subsequently, he obtained a sustained remission from infection.
一名78岁的日本男性被诊断出因干扰素γ(IFN-γ)自身抗体导致获得性免疫缺陷,该患者患有治疗难治性播散性非结核分枝杆菌感染。除了标准的抗分枝杆菌治疗外,他还成功接受了利妥昔单抗治疗,以消除B细胞从而消除自身抗体。随后,他的感染得到了持续缓解。