Ibrutinib, a Bruton's tyrosine kinase inhibitor, a new risk factor for cryptococcosis.

Abstract:

PURPOSE:Invasive fungal diseases and especially Cryptococcus neoformans infections are increasingly reported in patients with hematological malignancies receiving ibrutinib, a Bruton's tyrosine kinase inhibitor. PATIENTS AND METHOD:We reported three additional cases and reviewed 16 previous published cases together with cases from the international pharmacovigilance database. RESULTS:Patients were mainly treated for chronic lymphocytic leukemia. Cryptococcosis mostly occurred during the first six months (66%) and especially the first two months (44%) of treatment. Clinical presentation is often pulmonary (68%) and the outcome is usually favorable despite ibrutinib continuation. CONCLUSION:Clinicians must be aware of this infection in patients with hematological malignancies on ibrutinib.

journal_name

Med Mal Infect

authors

Brochard J,Morio F,Mahe J,Le Pape P,Guimard T,Mahe B,Leterrier M,Morrier M,Raffi F,Boutoille D

doi

10.1016/j.medmal.2020.07.005

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

742-745

issue

8

eissn

0399-077X

issn

1769-6690

pii

S0399-077X(20)30673-9

journal_volume

50

pub_type

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