Autoantibodies to Granulocyte-Macrophage Colony-Stimulating Factor Associated With Severe and Unusual Manifestations of Cryptococcus gattii Infections

被引:36
作者
Crum-Cianflone, Nancy F. [1 ,2 ,4 ]
Lam, Pamela V. [1 ]
Ross-Walker, Sarah [3 ]
Rosen, Lindsey B. [5 ]
Holland, Steven M. [5 ]
机构
[1] Scripps Mercy Hosp, Dept Internal Med, San Diego, CA 92103 USA
[2] Scripps Mercy Hosp, Div Infect Dis, San Diego, CA 92103 USA
[3] Scripps Mercy Hosp, Dept Pharm, San Diego, CA 92103 USA
[4] Naval Med Ctr San Diego, Div Infect Dis, San Diego, CA USA
[5] NIAID, NIH, 9000 Rockville Pike, Bethesda, MD 20892 USA
关键词
cryptococcus; GM-CSF autoantibodies; immune deficits; spinal epidural abscess; CHRONIC MUCOCUTANEOUS CANDIDIASIS; PULMONARY ALVEOLAR PROTEINOSIS; IFN-GAMMA AUTOANTIBODY; GM-CSF AUTOANTIBODIES; RITUXIMAB THERAPY; DISEASE;
D O I
10.1093/ofid/ofx211
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Cryptococcus gattii infections, especially including those with severe clinical manifestations, may be related to underlying host immunologic factors. We present 2 cases with autoantibodies to granulocyte-macrophage colony-stimulating factor (GM-CSF), a key cytokine in macrophage function. Immunologic evaluation for anti-GM-CSF antibodies may be important to inform management and counseling.
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页数:6
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