학술논문

A case report of disseminated histoplasmosis and concurrent cryptococcal meningitis in a patient treated with ruxolitinib
Document Type
article
Source
BMC Infectious Diseases. 19(1)
Subject
Biomedical and Clinical Sciences
Clinical Sciences
Infectious Diseases
Infection
Guam
Histoplasmosis
Humans
Immune Tolerance
Immunocompromised Host
Invasive Fungal Infections
Male
Meningitis
Cryptococcal
Middle Aged
Nitriles
Polycythemia Vera
Pyrazoles
Pyrimidines
Veterans
Cryptococcus
Immunosuppression
JAKinhibitor
Ruxolitinib
Microbiology
Medical Microbiology
Clinical sciences
Medical microbiology
Public health
Language
Abstract
BackgroundRuxolitinib is a highly potent janus kinase inhibitor that places its users at risk for various bacterial infections and viral reactivation. However new reports are also emerging that suggest greater immunosuppression and risk for fungal disease.Case presentationWe report the case of a 51 year-old veteran from Guam, treated with ruxolitinib for polycythemia vera, who developed disseminated histoplasmosis and concurrent cryptococcal meningitis.ConclusionThis case draws attention to the degree of immunosuppression that may be seen with this drug and the need for heightened vigilance for opportunistic infections in those treated with inhibitors of janus kinase/signal transducers and activators of transcription (JAK/STAT) such as ruxolitinib.