Tuberculosis pleural asociada con adalimumab, en un paciente con artritis reumatoide / Pleural tuberculosis associated with adalimumab in a patient with rheumatoid arthritis
Infectio
;
14(1): 47-54, mar. 2010. ilus, mapas
Article
in Spanish
| LILACS
| ID: lil-560934
RESUMEN
La tuberculosis constituye, en nuestro medio, una de las enfermedades infecciosas endémicas. Con el advenimiento de las nuevas terapias para el control de la artritis reumatoide,como los inhibidores del factor denecrosis tumoral, la incidencia de casos de reactivación ha aumentado notoriamente. Se presenta el caso de una mujer de 42 años de edad, con disnea, dolor torácico, tos, derrame pleural con líquido pleural tipo exudado linfocítico, con deaminasa de adenosina (ADA) de 55 U-L e identificación de granuloma en la biopsia pleural. Se revisa laliteratura y se hacen recomendaciones.
ABSTRACT
Tuberculosis (TB) represents one of the endemic infectious diseases in our population. The incidence of reactivate TB cases has grown notoriously with the onset of new therapeutic options for controlling rheumatoid arthritis (RA), such as tumor necrosis factor (TNF) inhibitors. The case of a 42 year old woman is highlighted. Her condition is characterized by shortness ofbreath, chest pain, cough, pleural effusion, linfocitic exudate pleural fluid, ADA 55 U-L and granuloma in pleural biopsy. A review of relevant literature and recommendations are presented.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Tuberculosis
/
Tuberculosis, Pleural
Type of study:
Practice guideline
/
Prognostic study
/
Risk factors
Language:
Spanish
Journal:
Infectio
Journal subject:
Communicable Diseases
Year:
2010
Type:
Article
Affiliation country:
Colombia
Institution/Affiliation country:
Pontificia Universidad Javeriana/CO
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