PMID- 19501793 OWN - NLM STAT- MEDLINE DCOM- 20090727 LR - 20220330 IS - 1879-0070 (Electronic) IS - 0732-8893 (Linking) VI - 64 IP - 3 DP - 2009 Jul TI - Immune reconstitution inflammatory syndrome after cessation of the tumor necrosis factor alpha blocker adalimumab in cryptococcal pneumonia. PG - 327-30 LID - 10.1016/j.diagmicrobio.2009.03.019 [doi] AB - Tumor necrosis factor alpha antagonists have proven efficacious for a variety of autoimmune-mediated diseases. However, recent data have highlighted the risk of invasive fungal infections with their use. These agents are typically discontinued when infectious complications occur during therapy; however, the immune reconstitution inflammatory syndrome (IRIS) may be seen after drug cessation. We describe the 1st case of IRIS secondary to cryptococcal pneumonia after cessation of adalimumab. FAU - Cadena, Jose AU - Cadena J AD - Department of Medicine, University of Texas Health Science Center at San Antonio, 78229, USA. FAU - Thompson, George R 3rd AU - Thompson GR 3rd FAU - Ho, Tony T AU - Ho TT FAU - Medina, Edward AU - Medina E FAU - Hughes, Darrel W AU - Hughes DW FAU - Patterson, Thomas F AU - Patterson TF LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Diagn Microbiol Infect Dis JT - Diagnostic microbiology and infectious disease JID - 8305899 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Immunologic Factors) RN - FYS6T7F842 (Adalimumab) SB - IM MH - Adalimumab MH - Antibodies, Monoclonal/*therapeutic use MH - Antibodies, Monoclonal, Humanized MH - Cryptococcosis/*complications/drug therapy MH - Female MH - Humans MH - *Immune Reconstitution Inflammatory Syndrome MH - Immunologic Factors/*therapeutic use MH - Middle Aged MH - Pneumonia/*complications/drug therapy MH - Withholding Treatment EDAT- 2009/06/09 09:00 MHDA- 2009/07/28 09:00 CRDT- 2009/06/09 09:00 PHST- 2009/02/09 00:00 [received] PHST- 2009/03/16 00:00 [revised] PHST- 2009/03/17 00:00 [accepted] PHST- 2009/06/09 09:00 [entrez] PHST- 2009/06/09 09:00 [pubmed] PHST- 2009/07/28 09:00 [medline] AID - S0732-8893(09)00108-4 [pii] AID - 10.1016/j.diagmicrobio.2009.03.019 [doi] PST - ppublish SO - Diagn Microbiol Infect Dis. 2009 Jul;64(3):327-30. doi: 10.1016/j.diagmicrobio.2009.03.019.