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김종훈,Toshio Hasegawa,Kurisu Tada,Yuki Uehara,Yukiko Fukui,Ayako Nakamura,Satomi Takei,Satoshi Mitarai,Akio Aono,Shigaku Ikeda 대한피부과학회 2023 Annals of Dermatology Vol.35 No.-
A 38-year-old female with systemic lupus erythematosus (SLE) initiated belimumab treat- ment. One month later, she presented with a reddish painful swelling on her right lower leg. She was treated with ceftriaxone and vancomycin. However, novel erythematous papules and indurated nodules appeared on both her lower legs. Skin biopsy revealed microabscess formation with mixed cell granuloma surrounded by inf lammatory cell infiltration within the dermis with subcutaneous fat tissue. A large number of acid-fast bacilli were observed with Ziehl–Neelsen staining. DNA sequencing of both the hsp65 and the 16S rRNA se- quences showed a 100% match with the corresponding region of Mycobacterium hae- mophilum . Mycobacterial culture revealed satellite growth enhancement on Middlebrook 7H11 agar plates around a paper strip containing hemin. She was treated with levof loxacin, rifabutin, and ethambutol. Within 13 months, her cutaneous lesions improved markedly without any side effects. The B cell-targeted biologic belimumab, a fully humanized IgG1γ monoclonal antibody that inactivates B lymphocyte stimulator, has been considered to be beneficial for active SLE. However, this therapy could increase the risk for the development of biologic therapy-associated mycobacterial infections, both tuberculosis and nontubercu- lous mycobacteria infections.
Exploring the Ecology of Deep-Sea Hydrothermal Vents in a Metacommunity Framework
Mullineaux, Lauren S.,Metaxas, Anna,Beaulieu, Stace E.,Bright, Monika,Gollner, Sabine,Grupe, Benjamin M.,Herrera, Santiago,Kellner, Julie B.,Levin, Lisa A.,Mitarai, Satoshi,Neubert, Michael G.,Thurnhe Frontiers Media SA 2018 Frontiers in marine science Vol.5 No.-