Severe cryptococcal-associated neurological immune reconstitution inflammatory syndrome in a renal transplant recipient treated with adalimumab

被引:4
作者
Deshayes, S. [1 ]
Bouvier, N. [2 ]
Chatelet, V. [2 ]
de Ligny, B. Hurault [2 ]
Dargere, S. [3 ]
Bonhomme, J. [4 ]
Bechade, C. [2 ]
机构
[1] CHU Caen, Dept Internal Med, Caen, France
[2] CHU Caen, Dept Nephrol, F-14000 Caen, France
[3] CHU Caen, Dept Infect Dis, Caen, France
[4] CHU Caen, Dept Microbiol, Caen, France
关键词
cryptococcosis; Cryptococcus neoformans; kidney transplantation; anti-tumor necrosis factor-alpha monoclonal antibody; immune reconstitution inflammatory syndrome; INVASIVE FUNGAL-INFECTIONS; ANTIRETROVIRAL THERAPY; NEOFORMANS INFECTION; DISEASE; TUBERCULOSIS; THALIDOMIDE;
D O I
10.1111/tid.12522
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Cryptococcosis is a major concern in organ transplant recipients. A decrease in immunosuppressants following the initiation of antifungal therapy is currently recommended, but can occasionally be complicated by the onset of immune reconstitution inflammatory syndrome (IRIS). We report on a case of cryptococcosis in a kidney transplant recipient, compounded by severe neurological IRIS, the outcome of which was unfavorable despite the use of anti-tumor necrosis factor-alpha monoclonal antibodies.
引用
收藏
页码:461 / 465
页数:5
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