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Article Abstract

Introduction: Invasive fungal infection (IFI) after chimeric antigen receptor (CAR) T-cell therapy is less common than bacterial and viral infections, but can be fatal once it develops. As most cases occur within 30 days after CAR T-cell infusion, late-onset IFI-particularly mould infection-appears to be under-recognised.

Discussion: We report an illustrative case of pituitary aspergillosis developing as late as one year after CD19 CAR T-cell therapy, highlighting a persistent risk in certain patients with delayed immune reconstitution.

Conclusion: This case underscores the need for continued vigilance and individualised antifungal strategies to prevent IFI beyond the early post-infusion period.

Trial Registration: The authors have confirmed clinical trial registration is not needed for this submission.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12404041PMC
http://dx.doi.org/10.1002/jha2.70138DOI Listing

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