Infections and CAR-T cells for the treatment of lymphoid malignancies: a narrative review - Takeaways - MDSpire

Infections and CAR-T cells for the treatment of lymphoid malignancies: a narrative review

  • By

  • Carolina Secreto

  • Filippo Fasano

  • Davide Stella

  • Mattia Novo

  • Barbara Botto

  • Marco Cerrano

  • Roberto Freilone

  • Alessandro Busca

  • June 16, 2026

  • 0 min

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  • 1

    CAR-T cell therapy has transformed treatment for lymphoid malignancies but is associated with significant infectious complications.

  • 2

    Infections after CAR-T therapy follow a biphasic pattern, with early infections occurring within the first 30 days and late infections thereafter.

  • 3

    Bacterial infections are most common in the early phase, while viral and opportunistic infections become more prevalent in the long-term.

  • 4

    Risk factors for infections include host-related factors like underlying malignancy and treatment-related factors such as CRS and hypogammaglobulinemia.

  • 5

    Infections are a leading cause of non-relapse mortality in CAR-T patients, highlighting the need for vigilant monitoring and management.

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