A case of CNS aspergillosis in a patient with chronic lymphocytic leukemia on first-line ibrutinib therapy.

Aspergillus Central nervous system (CNS) Chronic lymphocytic leukemia (CLL) Ibrutinib Invasive fungal infection (IFI)

Journal

Medical mycology case reports
ISSN: 2211-7539
Titre abrégé: Med Mycol Case Rep
Pays: Netherlands
ID NLM: 101598259

Informations de publication

Date de publication:
Mar 2020
Historique:
received: 20 11 2019
revised: 02 12 2019
accepted: 04 12 2019
entrez: 28 12 2019
pubmed: 28 12 2019
medline: 28 12 2019
Statut: epublish

Résumé

Ibrutinib has revolutionized the treatment of chronic lymphoid malignancies. Despite its success, ibrutinib has been linked with several reports of invasive fungal infections. We present a case of CNS aspergillosis in a CLL patient on first line ibrutinib therapy. We summarize existing case reports and case series of invasive aspergillosis in patients on ibrutinib, the pathogenesis of invasive aspergillosis, and discuss the clinical controversies regarding anti-fungal prophylaxis in this population.

Identifiants

pubmed: 31879587
doi: 10.1016/j.mmcr.2019.12.007
pii: S2211-7539(19)30120-4
pmc: PMC6920281
doi:

Types de publication

Case Reports

Langues

eng

Pagination

17-21

Subventions

Organisme : NIAID NIH HHS
ID : T32 AI100851
Pays : United States

Informations de copyright

© 2019 Published by Elsevier B.V. on behalf of International Society for Human and Animal Mycology.

Déclaration de conflit d'intérêts

JP discloses the following consulting/advisory committee/research grants: Astellas, Merck, F2G, Cidara, Pfizer, Scynexis, Viamet, Amplyx, Vical, Matinas, Minnetronix. DB discloses the following consulting/advisory committee/research grants: AbbVie, ArQule, AstraZeneca, BeiGene, DTRM, Genentech, Juno, MEI Pharma, Novartis, Pharmacyclics, Teva, TG Therapeutics, Tolero, Verastem. JM, EE, SW and JS have nothing to disclose.

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Auteurs

Emily M Eichenberger (EM)

Division of Infectious Disease, Department of Medicine, Duke University Medical Center, Durham, NC, 27707, USA.

Jennifer Saullo (J)

Division of Infectious Disease, Department of Medicine, Duke University Medical Center, Durham, NC, 27707, USA.

Danielle Brander (D)

Division of Hematology and Oncology, Department of Medicine, Duke University Medical Center, Durham, NC, 27707, USA.

Shih-Hsiu Wang (SH)

Department of Pathology, Duke University Medical Center, Durham, NC, 27707, USA.

John R Perfect (JR)

Division of Infectious Disease, Department of Medicine, Duke University Medical Center, Durham, NC, 27707, USA.

Julia A Messina (JA)

Division of Infectious Disease, Department of Medicine, Duke University Medical Center, Durham, NC, 27707, USA.

Classifications MeSH