Atypical Mycobacterial Tenosynovitis in the Setting of Adalimumab Use
Autor: | Nilmarie Guzman, Kurt Wukitsch, Jay N. Patel |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
musculoskeletal Tenosynovitis business.industry General Engineering Infectious Disease psoriasis Disease medicine.disease tenosynovitis Dermatology Ulcerative colitis nontuberculous mycobacterium Rheumatology adalimumab Rheumatoid arthritis Psoriasis Internal Medicine Adalimumab Medicine Tumor necrosis factor alpha business Complication medicine.drug |
Zdroj: | Cureus |
ISSN: | 2168-8184 |
DOI: | 10.7759/cureus.18952 |
Popis: | Tumor necrosis factor-alpha (TNF-α) inhibitors indicated in the management of psoriasis, rheumatoid arthritis, ulcerative colitis, Crohn’s disease, and other autoimmune diseases have been associated with the development of mycobacterial and other opportunistic infections. The majority of mycobacterial infections diagnosed in patients taking TNF-α inhibitors are secondary to Mycobacterium tuberculosis. Atypical mycobacteria have also been identified in this patient population, most commonly manifested by pulmonary or disseminated infections. Extra-pulmonary manifestations such as bone and joint infections are rare. We describe a case of atypical mycobacterial tenosynovitis in the setting of adalimumab use in a patient with psoriasis. This is a rarely reported complication that one should be aware of when prescribing these medications. |
Databáze: | OpenAIRE |
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