伊鲁替尼治疗慢性淋巴细胞白血病患者播散性诺卡菌病1例。

Infectious diseases & clinical microbiology Pub Date : 2025-06-26 eCollection Date: 2025-06-01 DOI:10.36519/idcm.2025.482
Hasibullah Yaqoobi, Yusuf Ziya Demiroğlu, Hayriye Altunay, Mehmet Ali Habeşoğlu, Tunzala Asgarova, Emre Durdağ
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引用次数: 0

摘要

诺卡菌引起局部和播散性感染,特别是在体液和细胞免疫缺陷或接受针对细胞免疫的免疫抑制治疗的个体中。由于肺诺卡菌病有侵袭中枢神经系统的倾向,延误诊断和治疗可导致死亡率增加。伊鲁替尼是一种用于治疗慢性淋巴细胞白血病的药物,它能抑制B细胞,从而使患者易患诺卡菌病等机会性感染。在这个报告中,一个播散性诺卡菌病与肺和脑脓肿由诺卡菌farcinica引起的慢性淋巴细胞白血病患者接受伊鲁替尼治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Disseminated Nocardiosis in a Patient with Chronic Lymphocytic Leukemia Treated with Ibrutinib: A Case Report.

Nocardia spp. causes localized and disseminated infections, particularly in individuals with humoral and cellular immune deficiencies or those receiving immunosuppressive treatments that target cellular immunity. Delayed diagnosis and treatment of pulmonary nocardiosis can lead to increased mortality due to its tendency to invade the central nervous system. Ibrutinib, a drug used in the treatment of chronic lymphocytic leukemia, suppresses B cells, thereby predisposing patients to opportunistic infections such as nocardiosis. In this report, a case of disseminated nocardiosis with pulmonary and brain abscesses caused by Nocardia farcinica in a patient with chronic lymphocytic leukemia treated with ibrutinib is presented.

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