加密球菌感染的皮肤表现与亚临床中枢神经系统的参与是fingolimod治疗的次要原因
Shin Yee Chey1,2, Niamh-Anna O'Sullivan3, Trevor Beer4
1Department of Neurology, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia.
Multiple sclerosis journal - experimental, translational and clinical
|September 7, 2023
概括
芬戈利莫德是一种多发性硬化症治疗方法,可以引起密码球菌感染. 这个案例突出了一个患有皮肤和中枢神经系统感染的患者,仅表现出皮肤症状,强调需要提高认识.
科学领域:
- 神经免疫学 神经免疫学
- 传染性疾病 传染性疾病
- 皮肤病学 皮肤病学
背景情况:
- 芬戈利莫德是一种用于多发性硬化症 (MS) 的斯芬戈-1-酸盐受体调节剂.
- 它通过将它们保留在淋巴状组织中来减少循环淋巴细胞.
- 芬戈利莫德的使用与机会性感染的风险增加有关,包括加密球菌病.
研究的目的:
- 在接受fingolimod治疗的患者中报告一种加密球菌感染病例.
- 为了突出加密球菌病的非典型表现与孤立的皮肤症状.
- 强调在接受fingolimod治疗的MS患者中认识到这种不良影响的重要性.
主要方法:
- 一个患有多发性硬化症的患者在fingolimod治疗中的病例报告.
- 审查了临床表现,诊断工作和加密球菌感染的治疗.
- 关于fingolimod相关的加密球菌病的文献综述.
主要成果:
- 患者出现了孤立的皮肤病变,没有神经或全身感染迹象.
- 脑脊液分析证实了密码球菌脑膜炎.
- 用抗真菌疗法治疗导致临床改善.
结论:
- 加密球菌感染是与fingolimod治疗相关的重大不良事件.
- 接受fingolimod治疗的患者可能会出现不典型的症状,包括孤立的皮肤表现.
- 早期识别和及时治疗对于管理fingolimod相关的加密球菌病至关重要.
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