Tuberculous Peritonitis in a Patient with Rheumatoid Arthritis Treated with Infliximab.
10.4078/jrd.2011.18.4.320
- Author:
In Tae KIM
1
;
Hyung Bok PARK
;
Sang Hun LEE
;
Yu Kyung HYUN
;
Yun Ji KIM
;
Yong Won LEE
;
Jung Soo SONG
;
Sang Tae CHOI
Author Information
1. Department of Internal Medicine, Kwandong University College of Medicine, Goyang, Korea.
- Publication Type:Case Report
- Keywords:
Infliximab;
Tuberculous peritonitis;
Anti-TNF therapy;
Rheumatoid arthritis
- MeSH:
Antibodies, Monoclonal;
Arthritis, Rheumatoid;
Ascites;
Female;
Humans;
Middle Aged;
Necrosis;
Peritonitis, Tuberculous;
Tuberculosis;
Infliximab
- From:Journal of Rheumatic Diseases
2011;18(4):320-323
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
One of the severe adverse reactions to anti-tumor necrosis factor (TNF)-alpha therapy is the reactivation of tuberculosis. We present a case of tuberculous peritonitis in a 57-year-old woman with rheumatoid arthritis (RA) that appeared during treatment with infliximab. Confirming a diagnosis of tuberculous peritonitis is difficult and can be delayed because of the nonspecific symptoms, the rarity of the disease and the low detection rate of mycobacteria in ascites fluid. This case illustrates that prompt anti-tuberculous therapy is needed for suspected cases of tuberculous peritonitis in RA patients treated with infliximab.