Life-threatening disseminated tuberculosis as a complication of treatment by infliximab for Crohn's disease: report of two cases, including cerebral tuberculomas and miliary tuberculosis.

نویسندگان

  • Claire Tissot
  • Sébastien Couraud
  • Lun Meng
  • Philippe Girard
  • Virginie Avrillon
  • Laurence Gérinière
  • Emilie Perrot
  • Pierre-Jean Souquet
چکیده

Tumor necrosis factor α antagonist therapies represent an increased risk of reactivation of tuberculosis. We report two cases of life-threatening disseminated tuberculosis in patients undergoing treatment with infliximab for Crohn's disease including one case of a patient with cerebral tuberculomas. We discuss the implication of tumor necrosis factor α in the genesis of tuberculosis infection and the features of tuberculosis under infliximab. Tuberculosis screening and eventually preventive chemotherapy should become the standard of care for individual undergoing tumor necrosis factor α antagonist therapies.

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عنوان ژورنال:
  • Journal of Crohn's & colitis

دوره 6 9  شماره 

صفحات  -

تاریخ انتشار 2012