Case Report: Immune reconstitution inflammatory syndrome after hematopoietic stem cell transplantation for severe combined immunodeficiency.

Shuangjun Liu, Feng Huo, Guorui Dai,Jie Wu,Maoquan Qin, Huawei Mao, Quan Wang

Frontiers in immunology(2022)

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摘要
We report a case of immune reconstitution inflammatory syndrome (IRIS) after hematopoietic stem cell transplantation (HSCT). The patient had sever bacillus Calmette-Guerin (BCG) vaccine-caused disseminated infection and had received allogeneic HSCT for X-linked severe combined immunodeficiency disease. After HSCT, complicated by treatment-responding veno-occlusive disease and acute graft-versus-host disease, at the time when immunosuppressants were withdrawn, the patient experienced recurrent fever accompanied by elevated inflammatory indicators. After receiving glucocorticoids and ibuprofen, the patient's condition improved, and a diagnosis with BCG-related IRIS was made.
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关键词
BCG disseminated tuberculosis,HSCT = hematopoietic stem cell transplant,IL2RG,IRIS - immune reconstitution inflammatory syndrome,severe combined immunodeficiency
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