Cerebral aspergillosis and facial acneiform lesions following initiation of ibrutinib in a patient with chronic lymphocytic leukemia.

Aspergillosis Bruton’s Tyrosine Kinase Inhibitor Invasive fungal infection

Journal

IDCases
ISSN: 2214-2509
Titre abrégé: IDCases
Pays: Netherlands
ID NLM: 101634540

Informations de publication

Date de publication:
2021
Historique:
received: 28 09 2020
revised: 26 08 2021
accepted: 30 08 2021
entrez: 10 9 2021
pubmed: 11 9 2021
medline: 11 9 2021
Statut: epublish

Résumé

A case of a 67-year-old male with CLL, presented with prolonged pancytopenia after his first cycle of fludarabine, cyclophosphamide, and rituximab (FCR) chemotherapy. He was then treated with ibrutinib oral monotherapy. Shortly after ibrutinib treatment initiation, he developed a brain abscess and pulmonary disease as a part of an invasive aspergillosis. The patient improved after brain abscess drainage and the anti-fungal therapy voriconazole. Upon resuming ibrutinib four months after his hospitalization, he developed extensive acneiform facial lesions. This case is the first to report on the development of two separate complications in one patient related to ibrutinib, namely,

Identifiants

pubmed: 34504767
doi: 10.1016/j.idcr.2021.e01263
pii: S2214-2509(21)00219-5
pmc: PMC8416634
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e01263

Informations de copyright

© 2021 Published by Elsevier Ltd.

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

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Auteurs

Helbies Bedier (H)

Division of Hematology, McGill University Health Centre, Montreal, QC H4A 3J1, Canada.

John Lin (J)

Chronic Viral Illness Service, McGill University Health Centre, Montreal, QC H4A 3J1, Canada.
Infectious Diseases and Immunity in Global Health, Research Institute of the McGill University Health Centre, Montreal, QC H4A 3J1, Canada.

Charles Frenette (C)

Division of Infectious Diseases, McGill University Health Centre, Montreal, QC H4A 3J1, Canada.

Jean-Pierre Routy (JP)

Division of Hematology, McGill University Health Centre, Montreal, QC H4A 3J1, Canada.
Chronic Viral Illness Service, McGill University Health Centre, Montreal, QC H4A 3J1, Canada.
Infectious Diseases and Immunity in Global Health, Research Institute of the McGill University Health Centre, Montreal, QC H4A 3J1, Canada.

Classifications MeSH