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. 2020 Aug 2;8(2):e001034. doi: 10.1136/jitc-2020-001034

Table 2.

Characteristics of ir-meningitis and management with steroids

Patient 1 Patient 2 Patient 3 Patient 4 Patient 5 Patient 6 Patient 7
Severity grade of meningitis 3 2 1 2 1 2 1
Symptoms Fever,
confusion,
partial seizure.
Headache,
nausea,
photophobia.
Headache,
four limbs pain.
Headache,
vomiting.
Headache,
vomiting.
Headache,
fever.
Fever,
headache
Lumbar puncture
cells/mm3 40 (90% L) 8 (100% L) 19 (90% L) 25 (90% L) 0 9 (90% L) 320 (90% L)
Protein level 0.99 g/L 0.30 g/L 0.39 g/L 0.43 g/L 0.59 g/L 0.54 g/L <0.45 g/L
Steroid treatment*
Initial dose 1 mg/kg/day 1 mg/kg/day 0 1 mg/kg/day 0 1 mg/kg 0
Length at full dose 7 days 7 days 7 days 14 days
Length of tapering 42 days 42 days 42 days 42 days
Delay of complete recovery
From irAE-N onset 18 days 17 days 10 days 21 days 65 days 49 days 10 days
From steroids onset 2 days 14 days 2 days 14 days
Other irAEs occurrence None None None Hypophysitis (gr. 2), diabetes (gr. 2), hepatitis (gr. 1) None Hypophysitis (gr. 2), hepatitis (gr. 4), colitis (gr. 2) small fibers neuropathy (gr.1) None

*Prednisone equivalent doses.

irAE, immune-related adverse event; irAE-N, neurological immune-related adverse event; L, lymphocytes.