| Autor: |
Bruno César da Silva, Fabio Carneiro Vosqui Nascimento, Tatiana Senna Galvão Nonato Alves, Valdiana Surlo, Genoile Oliveira Santana, Eduardo Antonio Gonçalves Ramos, Sonyara Lisboa |
| Rok vydání: |
2015 |
| Předmět: |
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| Zdroj: |
Archives of Clinical Gastroenterology. 1:038-040 |
| ISSN: |
2455-2283 |
| Popis: |
Tuberculosis is described during the use of monoclonal antibodies against tumour necrosis factor (TNF) for Crohn's disease treatment. We report a case of a 44 year old man that developed fever, night sweats and weight loss during immunosuppressive and anti-TNF therapy for Crohn's disease. After extensive investigation we performed mediastinoscopy with biopsy of the paratracheal lymph node. A histopathological study revealed caseous necrosis. The patient improved after therapy against tuberculosis. During anti-TNF therapy, the diagnosis of tuberculosis may be mainly difficult when an atypical location is present. Clinical skills are important mainly in countries where tuberculosis is endemic. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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