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英夫利昔单抗治疗下结核病的罕见定位:睾丸受累。

A rare localization of tuberculosis under infliximab treatment: Testicular involvement.

作者信息

Nayımoğlu Mehmet, Sarıfakıoğlu Banu, Ustaömer Kübra, Akgül Murat, Isal Arslan Ayşegül

机构信息

Department of Physical Medicine and Rehabilitation, Namık Kemal University, School of Medicine, Tekirdağ, Turkey.

Department of Urology, Namık Kemal University, School of Medicine, Tekirdağ, Turkey.

出版信息

Turk J Phys Med Rehabil. 2021 Sep 1;67(3):374-377. doi: 10.5606/tftrd.2021.5135. eCollection 2021 Sep.

DOI:10.5606/tftrd.2021.5135
PMID:34870127
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8607004/
Abstract

Infliximab is an inhibitory of tumor necrosis factor-alpha which is used successfully for the treatment of inflammatory bowel disease and rheumatic disease. It has various side effects including injection-induced reactions, immunosuppression, demyelinating diseases, and cardiac effects. One of the most serious side effects is tuberculosis. In particular, the immunosuppressant drugs have a high risk of reactivating latent tuberculosis infection. Its activation probably may occur as an extra-pulmonary and, occasionally, may result in an unusual infection. Herein, we report a 30-year-old male case treated with infliximab and suffered from isolated testicular tuberculosis.

摘要

英夫利昔单抗是一种肿瘤坏死因子-α抑制剂,已成功用于治疗炎症性肠病和风湿性疾病。它有多种副作用,包括注射引起的反应、免疫抑制、脱髓鞘疾病和心脏影响。最严重的副作用之一是结核病。特别是,免疫抑制药物有很高的重新激活潜伏性结核感染的风险。其激活可能发生在肺外,偶尔可能导致不寻常的感染。在此,我们报告一例30岁男性病例,该患者接受英夫利昔单抗治疗后患上孤立性睾丸结核。

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本文引用的文献

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Case Report: Epididymo-Orchitis due to .病例报告:附睾炎-睾丸炎由 引起。
Am J Trop Med Hyg. 2019 Nov;101(5):1070-1072. doi: 10.4269/ajtmh.19-0162.
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[Rare location of tuberculosis: endometrial tuberculosis].[结核病的罕见部位:子宫内膜结核]
Pan Afr Med J. 2019 May 21;33:45. doi: 10.11604/pamj.2019.33.45.17520. eCollection 2019.
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Tuberculosis of the testis: a case report.睾丸结核:一例报告
Clin Med Insights Case Rep. 2012;5:169-72. doi: 10.4137/CCRep.S9451. Epub 2012 Dec 17.
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An update on lower urinary tract tuberculosis.下尿路结核的最新进展。
Curr Urol Rep. 2008 Jul;9(4):305-13. doi: 10.1007/s11934-008-0053-9.
5
Tuberculous epididymo-orchitis after intravesical BCG therapy for superficial bladder carcinoma: sonographic findings.浅表性膀胱癌膀胱内卡介苗灌注治疗后发生的结核性附睾睾丸炎:超声表现
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Diagnosis of isolated tuberculous orchitis by fine-needle aspiration cytology.通过细针穿刺细胞学检查诊断孤立性结核性睾丸炎
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Isolated tuberculous epididymitis: a review of forty cases.孤立性结核性附睾炎:40例病例回顾
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8
Tumor necrosis factor and granuloma biology: explaining the differential infection risk of etanercept and infliximab.肿瘤坏死因子与肉芽肿生物学:解释依那西普和英夫利昔单抗不同感染风险的原因
Semin Arthritis Rheum. 2005 Apr;34(5 Suppl1):34-8. doi: 10.1016/j.semarthrit.2005.01.009.
9
TNF-blocking agents and tuberculosis: new drugs illuminate an old topic.肿瘤坏死因子阻断剂与结核病:新药照亮旧话题。
Rheumatology (Oxford). 2005 Jun;44(6):714-20. doi: 10.1093/rheumatology/keh567. Epub 2005 Mar 1.
10
Mechanisms of action of tumor necrosis factor antagonist and granulomatous infections.肿瘤坏死因子拮抗剂的作用机制与肉芽肿性感染
J Rheumatol. 2004 Oct;31(10):1888-92.