This article reports the clinical pharmacist's involvement in managing a case of recurrent/refractory Burkitt lymphoma (R/R BL) treated with glofitamab. After the initial infusion, the patient developed cytokine release syndrome (CRS). Following physician-pharmacist consultation and evaluation, tocilizumab was administered to mitigate cytokine storm and albumin expansion, along with electrolyte replacement, antipyretics, and anti-infective therapy. Subsequent administration of immunological cell-related neurotoxicity syndrome triggered diazepam for seizure control and glucocorticoids, supplemented by blood pressure reduction and oxygen therapy. The pharmacist provided pharmacological recommendations regarding fever, infections, and seizures during treatment, which the physician subsequently adopted. As there are currently no domestic reports on pediatric cases using glofitamab for R/R BL, this case study offers valuable insights for rational drug use in pediatric patients and demonstrates effective pharmacological monitoring during immunotherapy.
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