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机会性肺部感染患者免疫缺陷病的评估

Evaluation of Inborn Errors of Immunity Among Patients with Opportunistic Pulmonary Infection.

作者信息

Husmann Rachel, Lehman Alice, Nelson Ryan W, Pragman Alexa A

机构信息

Division of Infectious Diseases and International Medicine, Department of Medicine, University of Minnesota, 420 Delaware Street Southeast #D416, Minneapolis, MN 55455, USA.

Division of Infectious Diseases and International Medicine, Department of Medicine, University of Minnesota, 420 Delaware Street Southeast #D416, Minneapolis, MN 55455, USA; Division of Pediatric Infectious Diseases, Department of Pediatrics, University of Minnesota, 420 Delaware Street Southeast #850, Minneapolis, MN 55455, USA.

出版信息

Clin Chest Med. 2025 Mar;46(1):61-75. doi: 10.1016/j.ccm.2024.10.005. Epub 2024 Nov 29.

DOI:10.1016/j.ccm.2024.10.005
PMID:39890293
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11787548/
Abstract

This review of immunocompromised host pneumonia as the result of inborn errors of immunity (IEI) is organized by opportunistic pulmonary pathogen. The authors identify patients who warrant an evaluation for an IEI based on their clinical presentation. Their recommendations are guided by the immune defect(s) associated with each opportunistic pulmonary infection. Physicians without expertise in immunology may begin an evaluation for IEI using the guidance provided here. Comprehensive evaluation by an immunologist may also be warranted in many instances.

摘要

本综述将因先天性免疫缺陷(IEI)导致的免疫功能低下宿主肺炎按机会性肺部病原体进行组织编排。作者根据临床表现确定了需要对IEI进行评估的患者。他们的建议以与每种机会性肺部感染相关的免疫缺陷为指导。没有免疫学专业知识的医生可以利用本文提供的指导开始对IEI进行评估。在许多情况下,也可能需要免疫学家进行全面评估。

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本文引用的文献

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Advisory Committee on Immunization Practices Recommended Immunization Schedule for Adults Aged 19 Years or Older - United States, 2024.免疫实践咨询委员会推荐的 19 岁及以上成年人免疫接种时间表-美国,2024 年。
MMWR Morb Mortal Wkly Rep. 2024 Jan 11;73(1):11-15. doi: 10.15585/mmwr.mm7301a3.
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Advisory Committee on Immunization Practices Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger - United States, 2024.免疫实践咨询委员会推荐的 18 岁及以下儿童和青少年免疫接种时间表-美国,2024 年。
MMWR Morb Mortal Wkly Rep. 2024 Jan 11;73(1):6-10. doi: 10.15585/mmwr.mm7301a2.
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Recommended Adult Immunization Schedule, United States, 2024.2024年美国成人免疫接种推荐时间表
Ann Intern Med. 2024 Feb;177(2):221-237. doi: 10.7326/M23-3269. Epub 2024 Jan 12.
4
Low circulating B cells in immunocompromised individuals are linked to poorer antibody responses to vaccines and a predisposition to viral infections.免疫功能低下个体循环B细胞水平低与疫苗抗体反应较差以及易患病毒感染有关。
J Allergy Clin Immunol Glob. 2022 Sep 22;2(1):111-113. doi: 10.1016/j.jacig.2022.07.008. eCollection 2023 Feb.
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Pneumococcal Vaccine for Adults Aged ≥19 Years: Recommendations of the Advisory Committee on Immunization Practices, United States, 2023.成人(≥19 岁)肺炎球菌疫苗:美国免疫实践咨询委员会 2023 年的建议。
MMWR Recomm Rep. 2023 Sep 8;72(3):1-39. doi: 10.15585/mmwr.rr7203a1.
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Coccidioides-Induced Pyopneumothorax in an Immunocompetent Patient.免疫功能正常患者的球孢子菌性脓气胸
Cureus. 2023 May 31;15(5):e39782. doi: 10.7759/cureus.39782. eCollection 2023 May.
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Characteristics and Outcomes of Anti-interferon Gamma Antibody-Associated Adult Onset Immunodeficiency.抗干扰素γ抗体相关成人起病免疫缺陷的特征和结局。
J Clin Immunol. 2023 Oct;43(7):1660-1670. doi: 10.1007/s10875-023-01537-0. Epub 2023 Jun 26.
8
Clinical Spectrum, Radiological Findings, and Outcomes of Severe Toxoplasmosis in Immunocompetent Hosts: A Systematic Review.免疫功能正常宿主中重症弓形虫病的临床谱、影像学表现及预后:一项系统评价
Pathogens. 2023 Mar 31;12(4):543. doi: 10.3390/pathogens12040543.
9
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Int J Infect Dis. 2023 Jun;131:162-165. doi: 10.1016/j.ijid.2023.04.007. Epub 2023 Apr 8.
10
Metagenomic next-generation sequencing of bronchoalveolar lavage fluid from children with severe pneumonia in pediatric intensive care unit.儿童重症监护病房中严重肺炎患儿支气管肺泡灌洗液的宏基因组下一代测序。
Front Cell Infect Microbiol. 2023 Mar 16;13:1082925. doi: 10.3389/fcimb.2023.1082925. eCollection 2023.