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Successful treatment of life-threatening mycobacteriosis using adjunctive gamma-interferon therapy with genetic analysis

Confalonieri Paola
•
Maiocchi Serena
•
Salton Francesco
altro
Confalonieri Marco.
2024
  • journal article

Periodico
INTERNATIONAL JOURNAL OF TUBERCULOSIS AND LUNG DISEASE
Abstract
In our case series of 6 consecutive patients with severe disseminated mycobacterial infection and lymphocytopenia who did not responded to antimycobacterial drugs alone we used adjunctive IFN-γ treatment. IFN-gamma was effective in four out of the six cases. We identified two genes potentially correlating with NTM and TB severity (MUC5AC and FCGBP), and one (CCL4L2) suggesting a positive response to IFN-γ therapy. Further research is required to validate these findings. We propose the extended use of INF-γ as a rescue therapy in non-responder-severe cases of mycobacteriosis and encourage the use of genetic analysis to predict outcome and response to INF-γ treatment.
DOI
10.5588/ijtldopen.23.0406
Archivio
https://hdl.handle.net/11368/3067598
https://www.ingentaconnect.com/contentone/iuatld/ijtldo/2024/00000001/00000001/art00010
Diritti
open access
FVG url
https://arts.units.it/bitstream/11368/3067598/1/s10.pdf
Soggetti
  • INF-γ

  • tuberculosi

  • mycobacteriosi

  • NTM

  • TB

  • MAC

  • acute respiratory fai...

  • lymphocytopenia

  • severe pneumonia

  • CCL4L2

  • MUC5AC

  • FCGBP

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