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肿瘤坏死因子抑制剂治疗后发生的播散性分枝杆菌感染,揭示了先天性免疫缺陷。

Disseminated mycobacterial infections after tumor necrosis factor inhibitor use, revealing inborn errors of immunity.

机构信息

Division of Pulmonary, Allergy, and Sleep Medicine, Mayo Clinic, Jacksonville, USA.

Division of Infectious Diseases, Mayo Clinic, Jacksonville, USA.

出版信息

Int J Infect Dis. 2023 Jun;131:162-165. doi: 10.1016/j.ijid.2023.04.007. Epub 2023 Apr 8.

Abstract

Tumor necrosis factor-a inhibitors can be associated with increased risk of infections, particularly reactivation of latent tuberculosis or nontuberculous mycobacterium (NTM). However, because disseminated NTM is rare, inborn errors of immunity should be considered. We present three patients with disseminated NTM after tumor necrosis factor-a inhibitor use who were found to have inborn errors of immunity.

摘要

肿瘤坏死因子-α抑制剂可增加感染风险,特别是潜伏性结核分枝杆菌或非结核分枝杆菌(NTM)的再激活。然而,由于播散性 NTM 较为罕见,因此应考虑固有免疫缺陷。我们报告了 3 例使用肿瘤坏死因子-α抑制剂后发生播散性 NTM 的患者,这些患者被发现存在固有免疫缺陷。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a11/10339357/58b5035be5ca/nihms-1892972-f0001.jpg

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