Journal
JOURNAL OF INFECTION AND CHEMOTHERAPY
Volume 25, Issue 1, Pages 54-58Publisher
ELSEVIER SCIENCE BV
DOI: 10.1016/j.jiac.2018.06.016
Keywords
Mycobacterium tuberculosis; PD-1; Lung cancer; Paradoxical response; Immune reconstitution inflammatory syndrome; Pseudoprogression
Categories
Ask authors/readers for more resources
Anti-programmed cell death-1 (PD-1) agents enhance the antitumor immunoresponse. A number of reports have indicated that patients with malignancies who receive anti-PD-1 agents are at risk for tuberculosis (TB) infection. In this report, we present a patient with non-small cell lung cancer who developed pulmonary tuberculosis while receiving the anti-PD-1 agent nivolumab, and who subsequently demonstrated a paradoxical response (PR) 10 days after initiation of anti-MTB treatment. We suggest that anti-PD-1 agents not only induce the development of pulmonary TB, but also development of PR after anti-MTB treatment, through upregulation of the immune response. Furthermore, based on their radiological and immunological similarity, we speculate that the schema of development of PR closely resembles that of pseudoprogression in non-small cell lung cancer patients after anti-PD-1 treatment. (C) 2018 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases. Published by Elsevier Ltd.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available