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[芦可替尼治疗期间继发骨髓纤维化患者发生致命性原发性流感病毒肺炎]

[Fatal primary influenza virus pneumonia in a patient with secondary myelofibrosis during ruxolitinib therapy].

作者信息

Taito Kenta, Kobayashi Sumiko, Nonaka Keisuke, Kitago Moe, Nishimura Yuki, Saito Tasuku, Ogura Kazuto, Miyakoshi Shigesaburo

机构信息

Department of Hematology, Tokyo Metropolitan Geriatric Hospital.

Department of Pathology, Tokyo Metropolitan Geriatric Hospital.

出版信息

Rinsho Ketsueki. 2022;63(2):108-110. doi: 10.11406/rinketsu.63.108.

Abstract

In recent years, fatal cases of primary influenza virus pneumonia have been rare. A 67-year-old woman with secondary myelofibrosis, who had been diagnosed with polycythemia vera 25 years prior, died of primary influenza virus pneumonia. She was immunocompromised due to the underlying disease and ruxolitinib therapy, but she was not vaccinated against influenza. She might have caught the flu from an infected family member. This case reminds us of the importance of infection control measures such as preventing familial infection during ruxolitinib therapy in severely immunocompromised patients.

摘要

近年来,原发性流感病毒肺炎的致死病例已较为罕见。一名67岁患有继发性骨髓纤维化的女性,25年前被诊断为真性红细胞增多症,死于原发性流感病毒肺炎。由于基础疾病和芦可替尼治疗,她的免疫系统受到损害,但她未接种流感疫苗。她可能是从受感染的家庭成员那里感染了流感。该病例提醒我们,对于严重免疫功能低下的患者,在芦可替尼治疗期间采取感染控制措施(如预防家庭感染)非常重要。

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