| Literature DB >> 21334948 |
Claire Rivoisy1, Lucile Amrouche, Guislaine Carcelain, Daniel Séréni, Anne Bourgarit.
Abstract
Paradoxical worsening of tuberculosis associated with immune reconstitution during antiretroviral therapy in patients with HIV infection is known as the immune reconstitution inflammatory syndrome (IRIS). Here, we report a case of paradoxical worsening of IFN-alpha induced tuberculosis in a patient experiencing reconstitution of pathogen-specific immune responses after discontinuing TNFα antagonist therapy. This case serves to alert clinicians that complications such as tuberculosis may worsen after TNFα antagonist discontinuation. This situation may paradoxically require readministration of the immunosuppressive drug in some patients.Entities:
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Year: 2011 PMID: 21334948 DOI: 10.1016/j.jbspin.2011.01.003
Source DB: PubMed Journal: Joint Bone Spine ISSN: 1297-319X Impact factor: 4.929