Drug General Information (ID: DDIN13D649)
Drug Name			Coccidioides immitis spherule		Drug Info		Atezolizumab		Drug Info
Drug Type		Allergenics				Monoclonal antibody
Therapeutic Class		Allergy Test				Antineoplastics/Anti-Pd-1 Monoclonal Antibodies

Mechanism of Coccidioides immitis spherule-Atezolizumab Interaction (Severity Level: Moderate)
Diminish the response to diagnostic skin test antigens Click to Show/Hide Mechanism Graph
Drug Name		Coccidioides immitis spherule				Atezolizumab
Mechanism		Diagnostic skin test antigens				Immunosuppressive effects
Key Mechanism Factor 1
		Factor Name		Diagnostic skin test antigens
		Factor Description		The efficacy of diagnostic skin test antigens may be reduced, leading to falsely insignificant or false-negative results may occur in such patients.
Mechanism Description		Reduced reactions to diagnostic skin test antigens for Coccidioides immitis spherule when combined with Atezolizumab

Recommended Action
Management		Clinicians should be aware of the potential for falsely insignificant or false-negative results when administering diagnostic skin test antigens to patients treated with immunosuppressive agents.

References
1	Product Information. Tuberculin PPD (Mantoux) (tuberculin purified protein derivative). Connaught Laboratories Ltd, Toronto, ON.
2	Product Information. Candin (candida albicans extract). Nielsen Biosciences Inc, San Diego, CA.
3	Product Information. Spherulin (coccidioidin skin test). ALK Laboratories Inc, Wallingford, CT.