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Mycobacterium intracellulare Pulmonary Disease with Endobronchial Caseation in a Patient Treated with Methotrexate / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases ; : 28-31, 2013.
Article in English | WPRIM | ID: wpr-121770
ABSTRACT
Methotrexate (MTX) has been established as a standard disease-modifying anti-rheumatic drug. If adequate disease control is achieved for a reasonable period of time, tapering the MTX dosage is recommended because the chronic use of MTX can result in opportunistic infection. We present here a case of a woman with rheumatoid arthritis taking MTX, and the woman developed actively caseating endobronchial Mycobacterium intracellulare disease with pulmonary infiltrations. After discontinuing the MTX, the patient was able to tolerate 18 months of antimycobacterial treatment without flare ups of rheumatoid arthritis, and she completely recovered from nontuberculous mycobacterial respiratory disease.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Arthritis, Rheumatoid / Tuberculosis, Pulmonary / Opportunistic Infections / Bronchial Diseases / Mycobacterium avium Complex / Methotrexate / Lung Diseases / Mycobacterium / Nontuberculous Mycobacteria Limits: Female / Humans Language: English Journal: Tuberculosis and Respiratory Diseases Year: 2013 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Arthritis, Rheumatoid / Tuberculosis, Pulmonary / Opportunistic Infections / Bronchial Diseases / Mycobacterium avium Complex / Methotrexate / Lung Diseases / Mycobacterium / Nontuberculous Mycobacteria Limits: Female / Humans Language: English Journal: Tuberculosis and Respiratory Diseases Year: 2013 Type: Article