Histoplasmosis in an off-trail Hiker receiving ustekinumab: Implications for Preventive and diagnostic strategies for patients receiving anti-IL-12/23 therapy

Yun Han Huang, Reed Magleby, Rema Rao, Thomas J. Walsh, Harjot K. Singh

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Ustekinumab, an IL-12/23 inhibitor, is an important agent in treatment of inflammatory bowel disease and psoriasis. Clinical trials have not demonstrated significantly increased infection risk with ustekinumab. We report a case of disseminated histoplasmosis in the setting of ustekinumab and methotrexate following a hike in the Catskill Mountains, a region not commonly associated with Histoplasma encapsulatum. To our knowledge, this is the first reported case of newly acquired histoplasmosis complicating treatment with ustekinumab.

Original languageEnglish (US)
Pages (from-to)43-46
Number of pages4
JournalMedical Mycology Case Reports
Volume32
DOIs
StatePublished - Jun 2021
Externally publishedYes

Keywords

  • Histoplasmosis
  • Immunosuppression
  • Ustekinumab

ASJC Scopus subject areas

  • Microbiology
  • Infectious Diseases

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