Tuberculosis during TNF-α inhibitor therapy, despite screening

被引:10
作者
Hofland, Regina W. [1 ]
Thijsen, Steven F. T. [2 ]
Verhagen, Marc A. M. T. [3 ]
Schenk, Yolande [4 ]
Bossink, Ailko W. J. [1 ]
机构
[1] Diakonessenhuis Utrecht, Dept Pulmonol & TB, NL-3582 KE Utrecht, Netherlands
[2] Diakonessenhuis Utrecht, Dept Med Microbiol & Immunol, NL-3582 KE Utrecht, Netherlands
[3] Diakonessenhuis Utrecht, Dept Gastroenterol, NL-3582 KE Utrecht, Netherlands
[4] Diakonessenhuis Utrecht, Dept Rheumatol, NL-3582 KE Utrecht, Netherlands
关键词
Tuberculosis; Immunodeficiency; Respiratory Infection; Infection Control;
D O I
10.1136/thoraxjnl-2012-202974
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
As part of a prospective study on the safety of TNF- inhibitor therapy after screening for and treatment of latent tuberculosis infection (LTBI), we report two patients who developed active tuberculosis (TB) infection during TNF- inhibitor therapy, despite negative screening for LTBI. The clinical history is suggestive of a primary infection acquired during travelling to TB-endemic countries. In this lesson of the month we would like to highlight the risk of travelling to TB-endemic areas in patients treated with TNF- inhibitor therapy.Screening for latent tuberculosis infection is not enough to prevent tuberculosis in patients treated with TNF- inhibitor therapy Screening for latent tuberculosis infection is not enough to prevent tuberculosis in patients treated with TNF-alpha inhibitor therapy
引用
收藏
页码:1079 / 1080
页数:2
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