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γ干扰素自身抗体相关患者的眶周感染:病例报告

Periocular Infection of Complex in a Patient with Interferon-γ Autoantibodies: A Case Report.

机构信息

Division of Plastic and Reconstructive Surgery, Department of Surgery, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien 970, Taiwan.

School of Medicine, Tzu Chi University, Hualien 970, Taiwan.

出版信息

Medicina (Kaunas). 2022 Jun 24;58(7):846. doi: 10.3390/medicina58070846.

DOI:10.3390/medicina58070846
PMID:35888565
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9324542/
Abstract

The neutralizing anti-interferon-γ autoantibody (nAIGA)-associated immunodeficiency is an emerging entity frequently associated with the nontuberculosis mycobacterium (NTM) infection and other opportunistic infections. We present a female patient with a mysterious periocular complex (MAC) infection, accompanied by sequential opportunistic infections including and herpes zoster infection. Her condition stabilized after long-term antimycobacterial treatment. Nevertheless, neutralizing anti-interferon-γ autoantibody was found in her serum, which was compatible with the scenario of adult-onset immunodeficiency.

摘要

中性抗干扰素-γ 自身抗体(nAIGA)相关免疫缺陷是一种新兴实体,常与非结核分枝杆菌(NTM)感染和其他机会性感染相关。我们报告了一位女性患者,她患有神秘的眶周复杂(MAC)感染,并伴有连续的机会性感染,包括和带状疱疹感染。她在长期抗分枝杆菌治疗后病情稳定。然而,在她的血清中发现了中性抗干扰素-γ 自身抗体,这与成人发病免疫缺陷的情况相符。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eeb0/9324542/48fed54158b8/medicina-58-00846-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eeb0/9324542/271811296917/medicina-58-00846-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eeb0/9324542/7a9e5d124247/medicina-58-00846-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eeb0/9324542/48fed54158b8/medicina-58-00846-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eeb0/9324542/271811296917/medicina-58-00846-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eeb0/9324542/7a9e5d124247/medicina-58-00846-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eeb0/9324542/48fed54158b8/medicina-58-00846-g003.jpg

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Open Forum Infect Dis. 2021 Jun 23;8(7):ofab253. doi: 10.1093/ofid/ofab253. eCollection 2021 Jul.
2
Minireview: Insights into anti-interferon-γ autoantibodies.综述:抗干扰素-γ 自身抗体的研究进展。
Exp Biol Med (Maywood). 2021 Apr;246(7):790-795. doi: 10.1177/1535370220981579. Epub 2021 Jan 11.
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Management of nontuberculous mycobacterial infections of the eye and orbit: A retrospective case series.
眼部和眼眶非结核分枝杆菌感染的管理:一项回顾性病例系列研究。
Am J Ophthalmol Case Rep. 2020 Oct 21;20:100971. doi: 10.1016/j.ajoc.2020.100971. eCollection 2020 Dec.
4
Disseminated Mycobacterium simiae infection in a patient with adult-onset immunodeficiency due to anti-interferon-gamma antibodies - a case report.抗干扰素γ抗体导致的成人发病免疫缺陷患者的播散性猿猴分枝杆菌感染 - 病例报告。
BMC Infect Dis. 2020 Apr 1;20(1):258. doi: 10.1186/s12879-020-04984-x.
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