Infectious risk stratification in multiple sclerosis patients receiving immunotherapy.

Abstract:

:The increasing number of potent treatments for multiple sclerosis warrants screening for infections. To investigate the prevalence of infections in two independent German patient cohorts with multiple sclerosis/neuromyelitis optica spectrum disorders (NMOSD), we performed a retrospective chart review study of multiple sclerosis/NMOSD patients who underwent testing for infections between 2014 and 2016. We show that 6 out of 80 tested patients (Düsseldorf cohort) and 2 out of 97 tested patients (Münster cohort) had a latent tuberculosis infection; total 3.95%, 95% CI: 2-8%. Our findings suggest that latent tuberculosis infection is frequent (>1%). Screening should be performed before embarking on immunomodulatory therapies to allow treatment and mitigation of the risk of a reactivation.

journal_name

Ann Clin Transl Neurol

authors

Graf J,Leussink VI,Dehmel T,Ringelstein M,Goebels N,Adams O,MacKenzie CR,Warnke C,Feldt T,Lammerskitten A,Klotz L,Meuth S,Wiendl H,Hartung HP,Aktas O,Albrecht P

doi

10.1002/acn3.491

subject

Has Abstract

pub_date

2017-11-24 00:00:00

pages

909-914

issue

12

issn

2328-9503

pii

ACN3491

journal_volume

4

pub_type

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