1. Lethal Immune Myocarditis and Myasthenia Gravis Due to Anti-PD-1 Treatment for a Bladder Cancer Patient: A Case Report and Possible Treatment Inspiration
- Author
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Gao,Pan, Li,Xinyu, He,Ziqiu, Zhang,Hongbo, Zhang,Zhi, Liu,Zonglai, Gao,Pan, Li,Xinyu, He,Ziqiu, Zhang,Hongbo, Zhang,Zhi, and Liu,Zonglai
- Abstract
Pan Gao,1,2 Xinyu Li,1,2 Ziqiu He,1,2 Hongbo Zhang,1,2 Zhi Zhang,1,2 Zonglai Liu1,2 1Department of Urology, Second Peopleâs Hospital of Yichang, Yichang, Hubei Province, Peopleâs Republic of China; 2Department of Urology, Second Peopleâs Hospital of China Three Gorges University, Yichang, Hubei Province, Peopleâs Republic of ChinaCorrespondence: Zonglai Liu, Department of Urology, Second Peopleâs Hospital of Yichang, Second Peopleâs Hospital of China Three Gorges University, 21 Xiling One Road, Yichang, 443000, Hubei Province, Peopleâs Republic of China, Email 85538230@qq.comAbstract: Immune checkpoint inhibitors (ICI) have become a new hope for many patients with advanced cancer by blocking tumor immune escape. Bladder cancer is a common malignant tumor of the urinary tract epithelium that often relapses and metastasizes after surgery, chemotherapy, and radiotherapy. Immunotherapy has dramatically improved patient survival rates and clinical benefits as a new, potentially effective therapy. However, avoidance of various immune-related adverse events (irAEs) remains an implausible idea. ICI-induced myocarditis is different from viral myocarditis, and mortality is still high with the current treatment. We report the case of an 82-year-old female patient with ICI-induced fulminant myocarditis and myasthenia gravis. Although she actively accepted the current mainstream treatment for immune-related myocarditis and myasthenia, she died of heart and respiratory failure. Analyzing and reporting the patientâs disease development process and the changes in related indicators may help peers gain a deeper understanding of immune-related adverse events and reduce the mortality of immune-related myocarditis.Keywords: immune checkpoint inhibitors, immunotherapy, heart failure, multiple organs failure
- Published
- 2024