在患有严重爱斯坦-巴尔病毒相关脑膜炎的儿童中使用抗CD20疗法
Sana Ahsan1, Saba Jafarpour2, Mellad M Khoshnood2
1California University of Science and Medicine, Colton, CA, USA.
Journal of child neurology
|September 5, 2024
概括
利图西马布为儿童严重的爱斯坦-巴尔病毒脑膜炎提供了有前途的治疗方法. 这种疗法导致了两例儿科病例的快速恢复和改善结果,突出了它对这种罕见的中枢神经系统感染的潜力.
科学领域:
- 传染性疾病 传染性疾病
- 神经学 神经学
- 免疫学 免疫学 免疫学
背景情况:
- 爱斯坦-巴尔病毒脑膜炎是一种罕见且严重的中枢神经系统感染.
- 目前的治疗选择有限,结果往往很差,特别是在严重的情况下.
- 有必要进行有效的治疗干预.
研究的目的:
- 报告瑞图西马布在患有严重爱斯坦-巴尔病毒脑膜炎的儿科病例中的疗效.
- 评估Rituximab管理后的临床结果和预后改善.
主要方法:
- 两名儿科患者的病例报告,患有严重的爱斯坦-巴尔病毒脑膜炎.
- 患者对包括免疫球蛋白和皮质类固醇在内的常规疗法不耐药.
- 给出了瑞图西马布,并对临床反应进行了监测.
主要成果:
- 这两名儿科患者在治疗Rituximab后均表现出快速的临床康复.
- 在症状,神经功能和生活质量方面观察到显著改善.
- 治疗的目标是携带爱斯坦-巴尔病毒的B细胞.
结论:
- 利图西马布在严重和耐火的爱斯坦-巴尔病毒脑膜炎中显示出治疗潜力.
- 这种疗法可能为免疫能力较强的儿科患者提供一个可行的选择.
- 对于严重病例,建议及时评估和考虑Rituximab.
更多相关视频
09:43An Efficient and Simple Method to Establish NK and T Cell Lines from Patients with Chronic Active Epstein-Barr Virus Infection
Published on: March 30, 2018
9.2K
08:44Separation of Immune Cell Subpopulations in Peripheral Blood Samples from Children with Infectious Mononucleosis
Published on: September 7, 2022
2.4K
相关概念视频
Immunodeficiency Diseases
Immunodeficiency disorders are conditions in which the immune system's ability to fight infectious disease and cancer is compromised or entirely absent. The immune system comprises a complex network of cells, tissues, and organs that work together to protect the body from potentially harmful invaders. When this system is deficient or not functioning properly, it leaves the body susceptible to infections, diseases, or other complications.
There are three main causes of immunodeficiency disorders...
There are three main causes of immunodeficiency disorders...
Arboviral Encephalitis
Arboviral encephalitis refers to brain inflammation caused by arthropod-borne viruses, particularly those transmitted through mosquito vectors. Among these, West Nile virus (WNV), a member of the Flaviviridae family, is a significant public health concern. WNV is an enveloped, positive-sense, single-stranded RNA virus. Human infection typically begins when an infected mosquito introduces the virus into the dermis during feeding. The primary transmission cycle involves birds as amplifying hosts...
Cytomegalovirus Disease
Cytomegalovirus (CMV) disease is caused by human cytomegalovirus, a double-stranded DNA virus of the Herpesviridae family. While primary CMV infection is often asymptomatic in immunocompetent individuals, the virus can cause severe disease in neonates and immunocompromised patients. CMV is the most common cause of congenital viral infection in the United States, and a major pathogen in solid organ and hematopoietic stem cell transplant recipients.CMV is transmitted via bodily fluids, sexual...
Respiratory Syncytial Virus Disease
Human respiratory syncytial virus (RSV) is a widespread pathogen that primarily targets infants and young children but also poses a serious health risk to elderly and immunocompromised individuals. Belonging to the Pneumoviridae family, RSV is a negative-sense, single-stranded RNA virus within the Pneumovirus genus. Its global health burden is significant, with millions of cases annually resulting in hospitalizations and mortality, particularly in resource-limited settings. Although most...
Cryptococcal Meningitis
Cryptococcal meningitis is a life-threatening opportunistic infection predominantly associated with HIV/AIDS, accounting for over 100,000 deaths annually worldwide. However, it also affects individuals with other forms of immunosuppression, including those undergoing immunosuppressive therapy, organ transplant recipients, patients with innate immunodeficiencies, and individuals with hematological disorders. The infection is caused mainly by Cryptococcus neoformans and Cryptococcus gattii,...
Encephalitis ll: Pathophysiology
Encephalitis is inflammation of the brain parenchyma caused by direct viral invasion or immune-mediated mechanisms triggered by infections or tumors. Both processes lead to neuronal injury, disrupted neurotransmission, and diverse neurological symptoms, often with overlapping clinical and pathological features.Autoimmune EncephalitisIn autoimmune encephalitis, antibodies target neuronal antigens on cell surfaces, synapses, or within neurons. A key example is anti-NMDAR encephalitis, which can...
