Multiple pathogen infections accompanied with ocular pathologies in a patient with high-titer Anti-IFN-γ autoantibodies: a case report

Bibliographic Details
Title: Multiple pathogen infections accompanied with ocular pathologies in a patient with high-titer Anti-IFN-γ autoantibodies: a case report
Authors: Siyao Wu, Siqiao Liang, Hanlin Liang, Yan Ning, Xia Li, Zhiyi He
Source: BMC Infectious Diseases, Vol 24, Iss 1, Pp 1-7 (2024)
Publisher Information: BMC, 2024.
Publication Year: 2024
Collection: LCC:Infectious and parasitic diseases
Subject Terms: anti-IFN-γ autoantibodies, Nontuberculous mycobacteria, Talaromyces marneffei, Aspergillus Flavus, Immune disorder, Ocular pathologies, Infectious and parasitic diseases, RC109-216
More Details: Abstract The typical clinical characteristic of patients with anti-IFN-γ autoantibodies (AIGAs) is primarily associated with infection caused by intracellular pathogens. With continued research, additional clinical characteristics have been gradually uncovered. Here, we present a case of multiple pathogen infections accompanied by ocular pathologies in a patient with high titers of AIGAs. The patient, a 53-year-old female patient, was admitted to our hospital after finding a mass in the right supraclavicular fossa. She was successively diagnosed with Talaromyces marneffei, Aspergillus flavus and Nontuberculous mycobacteria (NTM) infections. Then, she received a complete course of antifungal agents for nearly 3.5 years and anti-NTM treatment for nearly 3 years, with discontinuation upon symptom improvement. However, there was a rapid recurrence of the infection upon cessation of the drug despite improvement in the patient’s symptoms. Moreover, when the recurrent infection stabilized, the patient exhibited immune conjunctivitis and dry eye, which was successfully treated by tacrolimus eye drops and lubricant. Patients with high-titer AIGAs are more prone to experiencing recurrence and/or persistent infection, as well as immune disorders.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1471-2334
Relation: https://doaj.org/toc/1471-2334
DOI: 10.1186/s12879-024-10217-2
Access URL: https://doaj.org/article/b594c10a6dba42f2b4f93a54e77e33cd
Accession Number: edsdoj.b594c10a6dba42f2b4f93a54e77e33cd
Database: Directory of Open Access Journals
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More Details
ISSN:14712334
DOI:10.1186/s12879-024-10217-2
Published in:BMC Infectious Diseases
Language:English