Long-term remission of small cell lung cancer after reactivation of tuberculosis following immune-checkpoint blockade: A case report.
Mattia SirgiovanniClemens HinterleitnerMarius HorgerNaushad Bijoy AtiqueUlrich M LauerLars ZenderMartina HinterleitnerPublished in: Thoracic cancer (2021)
Immune-checkpoint inhibitors (ICIs) provide a promising treatment option for advanced tumors including small cell lung cancer (SCLC). Nevertheless, in addition to immune-related adverse events (irAEs), an increased risk of infection including tuberculosis has been previously described. Here, we report a case of long-term remission of a patient with SCLC after reactivation of lung tuberculosis following ICI therapy. Our case illustrates the complexity of ICI-associated immune modulation in tuberculosis. Since new lesions in lung cancer patients are commonly associated with tumor progression, infections with mycobacterial tuberculosis may be underdiagnosed in lung cancer.
Keyphrases
- mycobacterium tuberculosis
- small cell lung cancer
- pulmonary tuberculosis
- hiv aids
- adverse drug
- disease activity
- case report
- emergency department
- poor prognosis
- stem cells
- rheumatoid arthritis
- hiv infected
- hepatitis c virus
- mesenchymal stem cells
- human immunodeficiency virus
- replacement therapy
- electronic health record