Granulocyte colony stimulating factor-induced exacerbation of fungus-related immune restoration inflammatory syndrome: a case of chronic disseminated candidiasis exacerbation

J Microbiol Immunol Infect. 2010 Aug;43(4):339-43. doi: 10.1016/S1684-1182(10)60052-7.

Abstract

Chronic disseminated candidiasis is a complication of the intensive therapies of hematological malignancies revealed during hematopoietic recovery, a context reminiscent of the immune restoration inflammatory syndrome in human immunodeficiency virus patients receiving antiretroviral therapy. We report a case of severe exacerbation of chronic disseminated candidiasis after pegylated granulocyte-colony stimulating factor administration. We emphasize the major inflammatory substrate of the disease and suggest that immune-modulating strategies such as hematopoietic growth factors, should be used cautiously in such patients.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Candidiasis / immunology*
  • Candidiasis / pathology*
  • Granulocyte Colony-Stimulating Factor / administration & dosage
  • Granulocyte Colony-Stimulating Factor / adverse effects*
  • Hematologic Neoplasms / drug therapy
  • Histocytochemistry
  • Humans
  • Immune Reconstitution Inflammatory Syndrome / chemically induced*
  • Immune Reconstitution Inflammatory Syndrome / immunology
  • Immune Reconstitution Inflammatory Syndrome / pathology*
  • Immunologic Factors / administration & dosage
  • Immunologic Factors / adverse effects*
  • Liver / pathology
  • Male
  • Microscopy
  • Radiography, Abdominal
  • Spleen / pathology
  • Tomography, X-Ray Computed

Substances

  • Immunologic Factors
  • Granulocyte Colony-Stimulating Factor