Relapsed Pulmonary Cryptococcosis during Tumor Necrosis Factor α Inhibitor Treatment

نویسندگان

  • Takahiro Takazono
  • Toyomitsu Sawai
  • Masato Tashiro
  • Tomomi Saijo
  • Kazuko Yamamoto
  • Yoshifumi Imamura
  • Taiga Miyazaki
  • Naofumi Suyama
  • Koichi Izumikawa
  • Hiroshi Kakeya
  • Katsunori Yanagihara
  • Hiroshi Mukae
  • Shigeru Kohno
چکیده

A 35-year-old non-HIV patient developed pulmonary cryptococcosis after the initiation of infliximab. He recovered by fluconazole treatment and completed the therapy for a total of 6 months. However, he experienced a relapse 16 months later during retreatment with infliximab, revealing an interesting clinical course contradicting retreatment. This case also represents the first case of relapsed pulmonary cryptococcosis suspected during treatment with a biologic agent. Both of these aspects generated important clinical questions about the length of pulmonary cryptococcosis treatment and the necessity of introducing a second prophylaxis for such patients.

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عنوان ژورنال:

دوره 55  شماره 

صفحات  -

تاریخ انتشار 2016