Analysis of a Case of Immune-Related Myocarditis Combined with Myasthenia Gravis and Liver Injury Induced by Tislelizumab
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Keywords

Immune checkpoint inhibitors
Immune-related adverse reactions
Myocarditis
Myasthenia gravis
Liver injury

DOI

10.26689/cr.v2i4.9357

Submitted : 2024-12-14
Accepted : 2024-12-29
Published : 2025-01-13

Abstract

Immune checkpoint inhibitors (ICIs) have demonstrated significant advantages and potential in tumor immunotherapy, but immune-related adverse events (irAEs) are becoming increasingly important safety issues. This article analyzes and discusses a case of a patient with esophageal cancer who developed bilateral lower limb weakness, bilateral ptosis, loss of appetite, nausea, and vomiting after four cycles of treatment with tislelizumab. The patient was considered to have immune-related myocarditis, myasthenia gravis, and liver injury involving multiple organs caused by tislelizumab treatment. As multi-organ damage caused by tislelizumab is rarely reported domestically and internationally, this article will analyze and discuss domestic and foreign literature, hoping to provide some help to clinicians who subsequently use tislelizumab.

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