R-CHOP Chemotherapy for Disseminated Mycobacterium avium Complex Disease due to Anti-Interferon-Gamma Autoantibodies: A Case Report

Author:

Uno Shunsuke1ORCID,Uehara Eisuke2,Kimura Toshiki3,Sakagami Takuro3ORCID,Namkoong Ho4ORCID,Uchida Sho1ORCID,Uwamino Yoshifumi5ORCID,Hasegawa Naoki1ORCID

Affiliation:

1. Department of Infectious Diseases, Keio University School of Medicine, Tokyo, Japan

2. Department of Hematology, Sainokuni Higashiomiya Medical Center, Saitama, Japan

3. Department of Respiratory Medicine, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan

4. Laboratory of Clinical Immunology and Microbiology, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA

5. Department of Laboratory Medicine, Keio University School of Medicine, Tokyo, Japan

Abstract

Abstract A 77-year-old Japanese man with disseminated Mycobacterium avium complex (MAC) disease due to anti-interferon-gamma autoantibodies received rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisolone (R-CHOP) chemotherapy because of non-Hodgkin lymphoma complication. The hepatobiliary nodules due to MAC resolved with R-CHOP and multidrug antimycobacterial treatment. R-CHOP could serve as an alternative adjunctive therapy for patients with anti-interferon-gamma autoantibodies.

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Oncology

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