Disseminated tuberculosis after Polatuzumab‐Vedotin based chemoimmunotherapy in a patient with Burkitt's lymphoma

<p dir="ltr">This report highlights the risk of latent tuberculosis (TB) reactivation after treatment with Polatuzumab Vedotin (PV), Rituximab, and Bendamustine (PBR protocol) despite appropriate chemoprophylaxis. A 48‐year‐old male with refractory Burkitt's lymphoma (BKL) was t...

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محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Sarah A. Elkourashy (21632903) (author)
مؤلفون آخرون: Maria Benkhadra (19756941) (author), Laila Shafei (17045772) (author), Sulieman Abujarir (21632906) (author), Rola Ghasoub (16555851) (author)
منشور في: 2024
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author Sarah A. Elkourashy (21632903)
author2 Maria Benkhadra (19756941)
Laila Shafei (17045772)
Sulieman Abujarir (21632906)
Rola Ghasoub (16555851)
author2_role author
author
author
author
author_facet Sarah A. Elkourashy (21632903)
Maria Benkhadra (19756941)
Laila Shafei (17045772)
Sulieman Abujarir (21632906)
Rola Ghasoub (16555851)
author_role author
dc.creator.none.fl_str_mv Sarah A. Elkourashy (21632903)
Maria Benkhadra (19756941)
Laila Shafei (17045772)
Sulieman Abujarir (21632906)
Rola Ghasoub (16555851)
dc.date.none.fl_str_mv 2024-05-07T03:00:00Z
dc.identifier.none.fl_str_mv 10.1002/ccr3.8838
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Disseminated_tuberculosis_after_Polatuzumab_Vedotin_based_chemoimmunotherapy_in_a_patient_with_Burkitt_s_lymphoma/29445464
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Immunology
Oncology and carcinogenesis
Pharmacology and pharmaceutical sciences
bendamustine
Burkitt's lymphoma
polatuzumab vedotin
reactivation
rituximab
tuberculosis
dc.title.none.fl_str_mv Disseminated tuberculosis after Polatuzumab‐Vedotin based chemoimmunotherapy in a patient with Burkitt's lymphoma
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p dir="ltr">This report highlights the risk of latent tuberculosis (TB) reactivation after treatment with Polatuzumab Vedotin (PV), Rituximab, and Bendamustine (PBR protocol) despite appropriate chemoprophylaxis. A 48‐year‐old male with refractory Burkitt's lymphoma (BKL) was treated with PBR protocol. At baseline, the patient had a negative QuantiFERON test result, which turned out to be positive prior to starting PBR. He received chemoprophylaxis for 9 months and was compliant with treatment. One year later, he was admitted with COVID‐19 pneumonia and was treated according to the protocol. His symptoms persisted for 1 month. Investigations yielded disseminated TB‐infiltrated bone marrow and pleura. Downstream B‐cell and T‐cell depletion secondary to CD20 and CD79b antagonism may potentially explain the increased risk of TB reactivation associated with the combination of PV and rituximab. Further research is necessary to monitor the risk of TB reactivation among patients receiving a combination of PV and rituximab, especially in endemic areas with high prevalence and incidence of TB.</p><h2>Other Information</h2><p dir="ltr">Published in: Clinical Case Reports<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1002/ccr3.8838" target="_blank">https://dx.doi.org/10.1002/ccr3.8838</a></p>
eu_rights_str_mv openAccess
id Manara2_ac24e571c773d3a41f0e6fe6edca9757
identifier_str_mv 10.1002/ccr3.8838
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/29445464
publishDate 2024
repository.mail.fl_str_mv
repository.name.fl_str_mv
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rights_invalid_str_mv CC BY 4.0
spelling Disseminated tuberculosis after Polatuzumab‐Vedotin based chemoimmunotherapy in a patient with Burkitt's lymphomaSarah A. Elkourashy (21632903)Maria Benkhadra (19756941)Laila Shafei (17045772)Sulieman Abujarir (21632906)Rola Ghasoub (16555851)Biomedical and clinical sciencesImmunologyOncology and carcinogenesisPharmacology and pharmaceutical sciencesbendamustineBurkitt's lymphomapolatuzumab vedotinreactivationrituximabtuberculosis<p dir="ltr">This report highlights the risk of latent tuberculosis (TB) reactivation after treatment with Polatuzumab Vedotin (PV), Rituximab, and Bendamustine (PBR protocol) despite appropriate chemoprophylaxis. A 48‐year‐old male with refractory Burkitt's lymphoma (BKL) was treated with PBR protocol. At baseline, the patient had a negative QuantiFERON test result, which turned out to be positive prior to starting PBR. He received chemoprophylaxis for 9 months and was compliant with treatment. One year later, he was admitted with COVID‐19 pneumonia and was treated according to the protocol. His symptoms persisted for 1 month. Investigations yielded disseminated TB‐infiltrated bone marrow and pleura. Downstream B‐cell and T‐cell depletion secondary to CD20 and CD79b antagonism may potentially explain the increased risk of TB reactivation associated with the combination of PV and rituximab. Further research is necessary to monitor the risk of TB reactivation among patients receiving a combination of PV and rituximab, especially in endemic areas with high prevalence and incidence of TB.</p><h2>Other Information</h2><p dir="ltr">Published in: Clinical Case Reports<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1002/ccr3.8838" target="_blank">https://dx.doi.org/10.1002/ccr3.8838</a></p>2024-05-07T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1002/ccr3.8838https://figshare.com/articles/journal_contribution/Disseminated_tuberculosis_after_Polatuzumab_Vedotin_based_chemoimmunotherapy_in_a_patient_with_Burkitt_s_lymphoma/29445464CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/294454642024-05-07T03:00:00Z
spellingShingle Disseminated tuberculosis after Polatuzumab‐Vedotin based chemoimmunotherapy in a patient with Burkitt's lymphoma
Sarah A. Elkourashy (21632903)
Biomedical and clinical sciences
Immunology
Oncology and carcinogenesis
Pharmacology and pharmaceutical sciences
bendamustine
Burkitt's lymphoma
polatuzumab vedotin
reactivation
rituximab
tuberculosis
status_str publishedVersion
title Disseminated tuberculosis after Polatuzumab‐Vedotin based chemoimmunotherapy in a patient with Burkitt's lymphoma
title_full Disseminated tuberculosis after Polatuzumab‐Vedotin based chemoimmunotherapy in a patient with Burkitt's lymphoma
title_fullStr Disseminated tuberculosis after Polatuzumab‐Vedotin based chemoimmunotherapy in a patient with Burkitt's lymphoma
title_full_unstemmed Disseminated tuberculosis after Polatuzumab‐Vedotin based chemoimmunotherapy in a patient with Burkitt's lymphoma
title_short Disseminated tuberculosis after Polatuzumab‐Vedotin based chemoimmunotherapy in a patient with Burkitt's lymphoma
title_sort Disseminated tuberculosis after Polatuzumab‐Vedotin based chemoimmunotherapy in a patient with Burkitt's lymphoma
topic Biomedical and clinical sciences
Immunology
Oncology and carcinogenesis
Pharmacology and pharmaceutical sciences
bendamustine
Burkitt's lymphoma
polatuzumab vedotin
reactivation
rituximab
tuberculosis