Infections in patients with chronic lymphocytic leukemia

Introduction: Infection is a major complication in patients with chronic lymphocytic leukemia (CLL). Newly diagnosed patients are at high risk of developing infection caused by encapsulated bacteria, such as Streptococcus pneumoniae and Haemophylus influenzae. Method and Results: However, once treat...

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Main Authors: Mariana Guarana, Marcio Nucci
Format: Article
Language:English
Published: Elsevier 2023-07-01
Series:Hematology, Transfusion and Cell Therapy
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2531137923001086
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author Mariana Guarana
Marcio Nucci
author_facet Mariana Guarana
Marcio Nucci
author_sort Mariana Guarana
collection DOAJ
description Introduction: Infection is a major complication in patients with chronic lymphocytic leukemia (CLL). Newly diagnosed patients are at high risk of developing infection caused by encapsulated bacteria, such as Streptococcus pneumoniae and Haemophylus influenzae. Method and Results: However, once treatment is initiated, the spectrum of pathogens causing infection broadens, depending on the treatment regimens. With disease progression, cumulative immunosuppression occurs as a consequence of multiple treatment lines and the risk of infection further increases. On the other hand, the use of targeted therapies in the treatment of CLL have brought new risks of infection, with an increased incidence of invasive fungal diseases, particularly aspergillosis, in patients receiving Bruton kinase inhibitors. Conclusion: In this article, we review the epidemiology of infection in patients with CLL, taking into account the treatment regimen, and briefly discuss the management of infection.
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spelling doaj.art-cdc9378bdcbf4741895747b77cf04c3b2023-08-30T05:54:34ZengElsevierHematology, Transfusion and Cell Therapy2531-13792023-07-01453387393Infections in patients with chronic lymphocytic leukemiaMariana Guarana0Marcio Nucci1Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, BrazilUniversidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil; Grupo Oncoclinicas, Rio de Janeiro, RJ, Brazil; Corresponding author at: Hospital Universitário Clementino Fraga Filho, Rua Prof. Rodolpho Paulo Rocco 255 Sala 4A 12 – 21941-913, Brazil.Introduction: Infection is a major complication in patients with chronic lymphocytic leukemia (CLL). Newly diagnosed patients are at high risk of developing infection caused by encapsulated bacteria, such as Streptococcus pneumoniae and Haemophylus influenzae. Method and Results: However, once treatment is initiated, the spectrum of pathogens causing infection broadens, depending on the treatment regimens. With disease progression, cumulative immunosuppression occurs as a consequence of multiple treatment lines and the risk of infection further increases. On the other hand, the use of targeted therapies in the treatment of CLL have brought new risks of infection, with an increased incidence of invasive fungal diseases, particularly aspergillosis, in patients receiving Bruton kinase inhibitors. Conclusion: In this article, we review the epidemiology of infection in patients with CLL, taking into account the treatment regimen, and briefly discuss the management of infection.http://www.sciencedirect.com/science/article/pii/S2531137923001086Chronic lymphocytic leukemiaLeukemiaChronic lymphoid leukemiaInfectionImmunity
spellingShingle Mariana Guarana
Marcio Nucci
Infections in patients with chronic lymphocytic leukemia
Hematology, Transfusion and Cell Therapy
Chronic lymphocytic leukemia
Leukemia
Chronic lymphoid leukemia
Infection
Immunity
title Infections in patients with chronic lymphocytic leukemia
title_full Infections in patients with chronic lymphocytic leukemia
title_fullStr Infections in patients with chronic lymphocytic leukemia
title_full_unstemmed Infections in patients with chronic lymphocytic leukemia
title_short Infections in patients with chronic lymphocytic leukemia
title_sort infections in patients with chronic lymphocytic leukemia
topic Chronic lymphocytic leukemia
Leukemia
Chronic lymphoid leukemia
Infection
Immunity
url http://www.sciencedirect.com/science/article/pii/S2531137923001086
work_keys_str_mv AT marianaguarana infectionsinpatientswithchroniclymphocyticleukemia
AT marcionucci infectionsinpatientswithchroniclymphocyticleukemia