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Rev. panam. infectol ; 16(1): 62-66, 2014. ilus
Article in Portuguese | LILACS, SES-SP | ID: biblio-1067140

ABSTRACT

Relatamos a ocorrência da Síndrome Inflamatória da RecuperaçãoImune (IRIS), após reversão de agranulocitose, induzida por poliquimioterapia,em paciente do sexo feminino acometida por hanseníasedimorfa-virchowiana. Propomos que em todos os pacientes submetidosà poliquimioterapia para hanseníase sejam efetuados periodicamenteexames laboratoriais que possam identificar precocementedistúrbios hematológicos graves


We report the occurrence of Immune Reconstitution InflammatorySyndrome (IRIS) after reversal of agranulocytosis provoked by drugor drugs used in the treatment of leprosy. After suspension of thedrugs under suspicion and the recovery of the hematologic disturbanceand as consequence the restoration of the immune conditionwe started an alternate treatment for Hansen’s disease. Takingthis case as an example, we propose that all patients with leprosyand under treatment with drugs such as dapsone and/ or rifampicinshould have a periodical hemogram to identify premature hematologicanomalies.


Subject(s)
Female , Humans , Adult , Agranulocytosis , Leprosy, Multibacillary , Immune Reconstitution Inflammatory Syndrome , Clofazimine , Dapsone , Drug Therapy, Combination , Case Reports , Rifampin
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