Abstract
Patients with mutations in the IFNgamma/IL-12 pathway show an exquisite susceptibility to mycobacterial diseases. An IL-12Rbeta1 deficient patient with impaired intestinal absorption suffered from a 13 year culture-positive Mycobacterium bovis-BCG infection with acquired multidrug resistance. A combined parenteral and enteral anti-mycobacterial treatment, including recombinant IFNgamma, helped to clear his infection.
Publication types
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Case Reports
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Research Support, N.I.H., Extramural
MeSH terms
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Adolescent
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Antitubercular Agents / adverse effects
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Antitubercular Agents / therapeutic use*
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Genetic Predisposition to Disease
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Humans
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Male
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Mycobacterium bovis / isolation & purification*
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Receptors, Interleukin-12 / deficiency*
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Receptors, Interleukin-12 / genetics
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Tuberculosis / drug therapy*
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Tuberculosis / genetics*
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Tuberculosis / microbiology
Substances
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Antitubercular Agents
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IL12RB1 protein, human
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Receptors, Interleukin-12