Immune Reconstitution Inflammatory Syndrome as a Posttransplantation Complication in Primary Immunodeficiency With Disseminated Mycobacterium avium
Author(s) -
Maura Manion,
Dimana Dimitrova,
Luxin Pei,
Juan GeaBanacloche,
Adrian M. Zelazny,
Andrea Lisco,
Christa S. Zerbe,
Alexandra F. Freeman,
Steven M. Holland,
Christopher G. Kanakry,
Jennifer A. Kanakry,
Irini Sereti
Publication year - 2019
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/ciz507
Subject(s) - immune reconstitution inflammatory syndrome , immunology , primary immunodeficiency , immune system , medicine , hematopoietic stem cell transplantation , pathogen , immunodeficiency , concomitant , transplantation , virus , viral load , antiretroviral therapy
Patients with primary immunodeficiencies undergoing allogeneic hematopoietic cell transplantation (HCT) for difficult-to-control infections can experience immune reconstitution inflammatory syndrome (IRIS) following engraftment. In 3 patients with post-HCT IRIS related to mycobacterial infection, in vitro data demonstrate the emergence of pathogen-specific immune responses and a concomitant rise in plasma inflammatory markers.
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