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Tuberculous peritonitis in a patient with rheumatoid arthritis treated with adalimumab

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Abstract

We present a case of tuberculous peritonitis in a 71-year-old woman with long-standing rheumatoid arthritis treated with adalimumab, and we review the association between antitumor necrosis factor therapy and tuberculosis. Our case illustrates that the index of suspicion of tuberculosis in these patients, even with atypical clinical features, must be very high, and underscores the need of tuberculosis screening before therapy is started.

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Authors and Affiliations

  1. Internal Medicine Department, Hospital de Basurto, Avenida de Montevideo, 18, 48013, Bilbao, Spain

    Alfonso Gutiérrez-Macías, Eva Lizarralde-Palacios, Pedro Martínez-Odriozola & Felipe Miguel-de la Villa

Authors
  1. Alfonso Gutiérrez-Macías
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  2. Eva Lizarralde-Palacios
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  3. Pedro Martínez-Odriozola
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  4. Felipe Miguel-de la Villa
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Corresponding author

Correspondence to Alfonso Gutiérrez-Macías.

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Gutiérrez-Macías, A., Lizarralde-Palacios, E., Martínez-Odriozola, P. et al. Tuberculous peritonitis in a patient with rheumatoid arthritis treated with adalimumab. Clin Rheumatol 26, 452–453 (2007). https://doi.org/10.1007/s10067-005-0164-3

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  • DOI: https://doi.org/10.1007/s10067-005-0164-3

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