Article ; Online: Tuberculosis osteomyelitis in an old fused hip; activated by prednisolone, salazosulfapyridine, and low-dose methotrexate therapy in a patient with rheumatoid arthritis.
Modern rheumatology case reports
2020 Volume 4, Issue 2, Page(s) 171–175
Abstract: Osteoarticular tuberculosis can occur in patients with rheumatoid arthritis (RA) receiving immunosuppressive therapy. Here, we describe a case of tubercular osteomyelitis in an old fused hip of a patient with RA who received prednisolone, ... ...
Abstract | Osteoarticular tuberculosis can occur in patients with rheumatoid arthritis (RA) receiving immunosuppressive therapy. Here, we describe a case of tubercular osteomyelitis in an old fused hip of a patient with RA who received prednisolone, salazosulfapyridine (SASP), and low-dose methotrexate (MTX). A 77-year-old man with a 4-year history of RA was admitted with a complaint of general fatigue. His symptoms of RA had been well controlled with a combination of prednisolone, SASP, and low-dose MTX. Because the laboratory data showed an increase in serum C-reactive protein levels, we suspected pneumonia. There was expansion of a pre-existing consolidation in the right lower lobe of his lung on chest computed tomography, and the sputum culture was positive for |
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MeSH term(s) | Aged ; Antirheumatic Agents/administration & dosage ; Antirheumatic Agents/adverse effects ; Antirheumatic Agents/therapeutic use ; Antitubercular Agents/therapeutic use ; Arthritis, Rheumatoid/complications ; Arthritis, Rheumatoid/drug therapy ; Drug Therapy, Combination ; Humans ; Immunosuppressive Agents/administration & dosage ; Immunosuppressive Agents/adverse effects ; Immunosuppressive Agents/therapeutic use ; Male ; Methotrexate/administration & dosage ; Osteomyelitis/diagnosis ; Osteomyelitis/drug therapy ; Osteomyelitis/etiology ; Prednisolone/administration & dosage ; Sulfasalazine/administration & dosage ; Treatment Outcome ; Tuberculosis, Osteoarticular/diagnosis ; Tuberculosis, Osteoarticular/drug therapy ; Tuberculosis, Osteoarticular/etiology |
Chemical Substances | Antirheumatic Agents ; Antitubercular Agents ; Immunosuppressive Agents ; Sulfasalazine (3XC8GUZ6CB) ; Prednisolone (9PHQ9Y1OLM) ; Methotrexate (YL5FZ2Y5U1) |
Language | English |
Publishing date | 2020-03-13 |
Publishing country | England |
Document type | Case Reports ; Journal Article |
ISSN | 2472-5625 |
ISSN (online) | 2472-5625 |
DOI | 10.1080/24725625.2020.1739194 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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