Cerebral aspergillosis and facial acneiform lesions following initiation of ibrutinib in a patient with chronic lymphocytic leukemia

A case of a 67-year-old male with CLL, presented with prolonged pancytopenia after his first cycle of fludarabine, cyclophosphamide, and rituximab (FCR) chemotherapy. He was then treated with ibrutinib oral monotherapy. Shortly after ibrutinib treatment initiation, he developed a brain abscess and p...

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Main Authors: Helbies Bedier, John Lin, Charles Frenette, Jean-Pierre Routy
Format: Article
Language:English
Published: Elsevier 2021-01-01
Series:IDCases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214250921002195
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author Helbies Bedier
John Lin
Charles Frenette
Jean-Pierre Routy
author_facet Helbies Bedier
John Lin
Charles Frenette
Jean-Pierre Routy
author_sort Helbies Bedier
collection DOAJ
description A case of a 67-year-old male with CLL, presented with prolonged pancytopenia after his first cycle of fludarabine, cyclophosphamide, and rituximab (FCR) chemotherapy. He was then treated with ibrutinib oral monotherapy. Shortly after ibrutinib treatment initiation, he developed a brain abscess and pulmonary disease as a part of an invasive aspergillosis. The patient improved after brain abscess drainage and the anti-fungal therapy voriconazole. Upon resuming ibrutinib four months after his hospitalization, he developed extensive acneiform facial lesions. This case is the first to report on the development of two separate complications in one patient related to ibrutinib, namely, Aspergillus infection, and severe acneiform skin lesions.
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spelling doaj.art-428384414548443a8a987be368b263dd2022-12-21T23:34:44ZengElsevierIDCases2214-25092021-01-0126e01263Cerebral aspergillosis and facial acneiform lesions following initiation of ibrutinib in a patient with chronic lymphocytic leukemiaHelbies Bedier0John Lin1Charles Frenette2Jean-Pierre Routy3Division of Hematology, McGill University Health Centre, Montreal, QC H4A 3J1, CanadaChronic Viral Illness Service, McGill University Health Centre, Montreal, QC H4A 3J1, Canada; Infectious Diseases and Immunity in Global Health, Research Institute of the McGill University Health Centre, Montreal, QC H4A 3J1, CanadaDivision of Infectious Diseases, McGill University Health Centre, Montreal, QC H4A 3J1, CanadaDivision of Hematology, McGill University Health Centre, Montreal, QC H4A 3J1, Canada; Chronic Viral Illness Service, McGill University Health Centre, Montreal, QC H4A 3J1, Canada; Infectious Diseases and Immunity in Global Health, Research Institute of the McGill University Health Centre, Montreal, QC H4A 3J1, Canada; Corresponding author at: Division of Hematology, McGill University Health Centre, Montreal, QC H4A 3J1, Canada.A case of a 67-year-old male with CLL, presented with prolonged pancytopenia after his first cycle of fludarabine, cyclophosphamide, and rituximab (FCR) chemotherapy. He was then treated with ibrutinib oral monotherapy. Shortly after ibrutinib treatment initiation, he developed a brain abscess and pulmonary disease as a part of an invasive aspergillosis. The patient improved after brain abscess drainage and the anti-fungal therapy voriconazole. Upon resuming ibrutinib four months after his hospitalization, he developed extensive acneiform facial lesions. This case is the first to report on the development of two separate complications in one patient related to ibrutinib, namely, Aspergillus infection, and severe acneiform skin lesions.http://www.sciencedirect.com/science/article/pii/S2214250921002195Invasive fungal infectionAspergillosisBruton’s Tyrosine Kinase Inhibitor
spellingShingle Helbies Bedier
John Lin
Charles Frenette
Jean-Pierre Routy
Cerebral aspergillosis and facial acneiform lesions following initiation of ibrutinib in a patient with chronic lymphocytic leukemia
IDCases
Invasive fungal infection
Aspergillosis
Bruton’s Tyrosine Kinase Inhibitor
title Cerebral aspergillosis and facial acneiform lesions following initiation of ibrutinib in a patient with chronic lymphocytic leukemia
title_full Cerebral aspergillosis and facial acneiform lesions following initiation of ibrutinib in a patient with chronic lymphocytic leukemia
title_fullStr Cerebral aspergillosis and facial acneiform lesions following initiation of ibrutinib in a patient with chronic lymphocytic leukemia
title_full_unstemmed Cerebral aspergillosis and facial acneiform lesions following initiation of ibrutinib in a patient with chronic lymphocytic leukemia
title_short Cerebral aspergillosis and facial acneiform lesions following initiation of ibrutinib in a patient with chronic lymphocytic leukemia
title_sort cerebral aspergillosis and facial acneiform lesions following initiation of ibrutinib in a patient with chronic lymphocytic leukemia
topic Invasive fungal infection
Aspergillosis
Bruton’s Tyrosine Kinase Inhibitor
url http://www.sciencedirect.com/science/article/pii/S2214250921002195
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