Severe Paradoxical Reaction During Treatment of Disseminated Tuberculosis in a Patient With Neutralizing Anti-IFNγ Autoantibodies.

Xie, Yingda L; Rosen, Lindsey B; Sereti, Irini; Barber, Daniel L; Chen, Ray Y; Hsu, Denise C; Qasba, S Sonia; Zerbe, Christa S et al. · Clin Infect Dis · 2016

case_report · Level V

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Abstract

Interferon-gamma (IFNγ) neutralizing autoantibodies are associated with disseminated nontuberculous mycobacterial infections. We report a previously healthy Thai woman with disseminated tuberculosis and high-titer IFNγ-neutralizing autoantibodies, who developed a severe inflammatory reaction during anti-tuberculosis treatment. IFNγ contributes to host control of tuberculosis but appears inessential for tuberculosis paradoxical reactions.

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