Bacterial Infections Associated with Immunosuppressive Agents Commonly Used in Patients with Interstitial Lung Diseases

There are about 200 different types of interstitial lung disease (ILD), and a crucial initial step in the assessment of a patient with suspected ILD is achieving an appropriate diagnosis. Some ILDs respond to immunosuppressive agents, while immunosuppression can be detrimental in others, hence treat...

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Main Authors: Said Chaaban, Ruxana T. Sadikot
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Pathogens
Subjects:
Online Access:https://www.mdpi.com/2076-0817/12/3/464
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author Said Chaaban
Ruxana T. Sadikot
author_facet Said Chaaban
Ruxana T. Sadikot
author_sort Said Chaaban
collection DOAJ
description There are about 200 different types of interstitial lung disease (ILD), and a crucial initial step in the assessment of a patient with suspected ILD is achieving an appropriate diagnosis. Some ILDs respond to immunosuppressive agents, while immunosuppression can be detrimental in others, hence treatment is based on the most confident diagnosis with consideration of a patient’s risk factors. Immunosuppressive medications have the potential to result in substantial, and perhaps life-threatening, bacterial infections to a patient. However, data on the risk of bacterial infections from immunosuppressive treatment specifically in patients with interstitial lung disease is lacking. We hereby review the immunosuppressive treatments used in ILD patients excluding sarcoidosis, highlight their risk of bacterial infections, and discuss the potential mechanisms that contribute to the increased risk of infections.
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spelling doaj.art-9863c5d16cae4815aa608143e82418a02023-11-17T13:10:19ZengMDPI AGPathogens2076-08172023-03-0112346410.3390/pathogens12030464Bacterial Infections Associated with Immunosuppressive Agents Commonly Used in Patients with Interstitial Lung DiseasesSaid Chaaban0Ruxana T. Sadikot1Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE 68198-6450, USAPulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE 68198-6450, USAThere are about 200 different types of interstitial lung disease (ILD), and a crucial initial step in the assessment of a patient with suspected ILD is achieving an appropriate diagnosis. Some ILDs respond to immunosuppressive agents, while immunosuppression can be detrimental in others, hence treatment is based on the most confident diagnosis with consideration of a patient’s risk factors. Immunosuppressive medications have the potential to result in substantial, and perhaps life-threatening, bacterial infections to a patient. However, data on the risk of bacterial infections from immunosuppressive treatment specifically in patients with interstitial lung disease is lacking. We hereby review the immunosuppressive treatments used in ILD patients excluding sarcoidosis, highlight their risk of bacterial infections, and discuss the potential mechanisms that contribute to the increased risk of infections.https://www.mdpi.com/2076-0817/12/3/464interstitial lung diseaseimmunosuppressantspulmonary fibrosissarcoidosisinfectionreview
spellingShingle Said Chaaban
Ruxana T. Sadikot
Bacterial Infections Associated with Immunosuppressive Agents Commonly Used in Patients with Interstitial Lung Diseases
Pathogens
interstitial lung disease
immunosuppressants
pulmonary fibrosis
sarcoidosis
infection
review
title Bacterial Infections Associated with Immunosuppressive Agents Commonly Used in Patients with Interstitial Lung Diseases
title_full Bacterial Infections Associated with Immunosuppressive Agents Commonly Used in Patients with Interstitial Lung Diseases
title_fullStr Bacterial Infections Associated with Immunosuppressive Agents Commonly Used in Patients with Interstitial Lung Diseases
title_full_unstemmed Bacterial Infections Associated with Immunosuppressive Agents Commonly Used in Patients with Interstitial Lung Diseases
title_short Bacterial Infections Associated with Immunosuppressive Agents Commonly Used in Patients with Interstitial Lung Diseases
title_sort bacterial infections associated with immunosuppressive agents commonly used in patients with interstitial lung diseases
topic interstitial lung disease
immunosuppressants
pulmonary fibrosis
sarcoidosis
infection
review
url https://www.mdpi.com/2076-0817/12/3/464
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