We present a case of tuberculous peritonitis in a 71-year-old woman with long-standing rheumatoid arthritis treated with adalimumab, and we review the association between antitumor necrosis factor therapy and tuberculosis. Our case illustrates that the index of suspicion of tuberculosis in these patients, even with atypical clinical features, must be very high, and underscores the need of tuberculosis screening before therapy is started.
机构:
Wilford Hall USAF Med Ctr, Dept Rheumatol & Internal Med, San Antonio, TX USAWilford Hall USAF Med Ctr, Dept Rheumatol & Internal Med, San Antonio, TX USA
Szeto, Tedmond
Peterson, John
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Wilford Hall USAF Med Ctr, Dept Rheumatol & Internal Med, San Antonio, TX USAWilford Hall USAF Med Ctr, Dept Rheumatol & Internal Med, San Antonio, TX USA
Peterson, John
Silva, Fernando
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Wilford Hall USAF Med Ctr, Dept Rheumatol & Internal Med, San Antonio, TX USAWilford Hall USAF Med Ctr, Dept Rheumatol & Internal Med, San Antonio, TX USA