Rituximab as successful adjunct treatment in a patient with disseminated nontuberculous mycobacterial infection due to acquired anti-interferon-γ autoantibody.

Czaja, Christopher A; Merkel, Patricia A; Chan, Edward D; Lenz, Laurel L; Wolf, Molly L; Alam, Rafeul; Frankel, Stephen K; Fischer, Aryeh et al. · Clin Infect Dis · 2014

case_report · Level V

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Abstract

An acquired immune deficiency due to interferon gamma (IFN-γ) autoantibodies was diagnosed in a 78-year-old Japanese man with treatment-refractory disseminated nontuberculous mycobacterial infection. In addition to standard antimycobacterial therapy, he was successfully treated with rituximab to eliminate B cells and thereby the autoantibody. Subsequently, he obtained a sustained remission from infection.

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