Ibrutinib, a Bruton's tyrosine kinase inhibitor, a new risk factor for cryptococcosis

Autor: B Mahe, M. Leterrier, Thomas Guimard, J. Mahe, David Boutoille, M. Morrier, J. Brochard, F. Morio, P. Le Pape, François Raffi
Přispěvatelé: Cibles et médicaments de l'infection, de l'immunité et du cancer (IICiMed), Université de Nantes - UFR des Sciences Pharmaceutiques et Biologiques, Université de Nantes (UN)-Université de Nantes (UN)
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Médecine et Maladies Infectieuses
Médecine et Maladies Infectieuses, Elsevier Masson, 2020, 50, pp.742-745. ⟨10.1016/j.medmal.2020.07.005⟩
ISSN: 0399-077X
Popis: Purpose Invasive fungal diseases and especially Cryptococcus neoformans infections are increasingly reported in patients with hematological malignancies receiving ibrutinib, a Bruton's tyrosine kinase inhibitor. Patients and method We reported three additional cases and reviewed 16 previous published cases together with cases from the international pharmacovigilance database. Results Patients were mainly treated for chronic lymphocytic leukemia. Cryptococcosis mostly occurred during the first six months (66%) and especially the first two months (44%) of treatment. Clinical presentation is often pulmonary (68%) and the outcome is usually favorable despite ibrutinib continuation. Conclusion Clinicians must be aware of this infection in patients with hematological malignancies on ibrutinib.
Databáze: OpenAIRE