[抗干扰素-γ自身抗体阳性的结核分枝杆菌感染合并塔兰菌病1例报告]。

L F Li, M Lin, Y S Chen, W X Yue
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引用次数: 0

摘要

干扰素-γ (IFN-γ)的高滴度抗体与细胞内病原体引起的感染密切相关,特别是非结核分枝杆菌和马尔尼菲塔拉芳香菌(TM)。然而,非免疫抑制患者同时感染TM和结核分枝杆菌(MTB)的病例极为罕见。我们报告了一个临床病例,患者的抗干扰素-γ自身抗体发展为结核分枝杆菌感染并伴有马尔尼菲塔拉芳香菌,随后导致继发性噬血细胞综合征。本报告旨在提高临床医生对这种罕见关联的认识,以尽量减少误诊和过度诊断的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Mycobacterium tuberculosis infection complicated by talaromycosis in a patient with positive anti-interferon-γ autoantibodies: a case report].

High-titer antibodies to interferon-gamma (IFN-γ) are strongly correlated with infections caused by intracellular pathogens, particularly non-tuberculous mycobacteria and Talaromyces marneffei (TM). However, cases of concurrent infections with TM and Mycobacterium tuberculosis (MTB) in non-immunosuppressed patients are extremely rare. We presented a clinical case of a patient with anti-IFN-γ autoantibodies who developed an MTB infection complicated by Talaromyces marneffei, which subsequently led to secondary hemophagocytic syndrome. This report aimed to raise clinicians' awareness of this rare association to minimize the risk of misdiagnosis and overdiagnosis.

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