Tubercular pyomyositis in a case of rheumatoid arthritis being treated with infliximab.
A 55-year-old woman with rheumatoid arthritis having 4 months previously received two doses of infliximab, presented with fever, hypotension and swelling of right thigh posterolaterally. CT-guided aspiration was performed from the right thigh and revealed acid-fast bacilli (AFB) +++ and mycobacterial culture grew Mycobacterium tuberculosis. The patient improved on anti-tubercular treatment.
Khosla
Pooja
P
Medicine Office, Sir Ganga Ram Hospital, New Delhi, India. poojakhosla@hotmail.com
Aroaa
Neha
N
Jain
Sunil
S
D000911:Antibodies, Monoclonal / Q000009:adverse effects*; D018501:Antirheumatic Agents / Q000009:adverse effects*; D000995:Antitubercular Agents / Q000627:therapeutic use; D001172:Arthritis, Rheumatoid / Q000188:drug therapy*; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D000069285:Infliximab; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D052880:Pyomyositis / Q000139:chemically induced* / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology; D013848:Thigh; D016896:Treatment Outcome; D014376:Tuberculosis / Q000139:chemically induced* / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology
D000911:Antibodies, Monoclonal; D018501:Antirheumatic Agents; D000995:Antitubercular Agents; D000069285:Infliximab