Division of Medical Oncology/Hematology, Department of Medicine, Kobe University Hospital and Graduate School of Medicine, Japan.
Division of Infectious Diseases, Department of Medicine, Kobe University Hospital, Japan.
Intern Med. 2021 Nov 1;60(21):3485-3488. doi: 10.2169/internalmedicine.6550-20. Epub 2021 May 14.
Treatment with anti-programmed cell death-1 (PD-1) antibodies improves the anti-cancer immune response and can provide a meaningful clinical benefit to cancer patients. However, this treatment can result in specific autoimmune toxicities, termed immune-related adverse events (irAEs). Although irAEs are well recognized, the development of infectious diseases due to this treatment is not often observed. Some recent reports have indicated that patients who receive anti-PD-1 antibodies are at a higher risk for tuberculosis than others. However, reports on nontuberculous mycobacterial infection during anti-PD-1 antibody treatment are still rare. We herein report the first case of Mycobacterium mageritense infection during anti-PD-1 antibody treatment.
抗程序性细胞死亡蛋白-1(PD-1)抗体治疗可改善抗肿瘤免疫反应,并可为癌症患者提供有意义的临床获益。然而,这种治疗会导致特定的自身免疫毒性,称为免疫相关不良事件(irAEs)。尽管 irAEs 已得到广泛认识,但由于这种治疗而发生传染病的情况并不常见。一些最近的报告表明,接受抗 PD-1 抗体治疗的患者比其他人更容易患结核病。然而,关于抗 PD-1 抗体治疗期间非结核分枝杆菌感染的报告仍然很少。本文报告了首例抗 PD-1 抗体治疗期间感染马格氏分枝杆菌的病例。