We present a rare case of tuberculous myositis in a 36-year-old man with long-standing ankylosing spondylitis treated with adalimumab. We review the association between antitumor necrosis factor therapy and tuberculous myositis. Our case illustrates that the index of suspicion of tuberculosis in these patients, even with atypical clinical features, must be very high and emphasizes that this rare infection may occur even with negative tuberculosis screening before therapy was started.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1007/s00296-008-0837-8 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Synovial sarcoma masquerading as juvenile idiopathic arthritis.
BMJ Case Rep
December 2024
Clinical Immunology and Rheumatology, King George's Medical University, Lucknow, Uttar Pradesh, India.
Article Synopsis
- An early adolescent girl experienced chronic monoarthritis and was initially misdiagnosed with skeletal tuberculosis, leading to ineffective treatment.
- As her condition worsened over four months, doctors suspected juvenile idiopathic arthritis but later found stronger signs of a serious issue after imaging showed synovitis and necrotising myositis.
- A biopsy ultimately confirmed she had synovial sarcoma with metastasis, and despite a timely diagnosis, she tragically passed away from the illness.
Pulmonary manifestations of the idiopathic inflammatory myopathies in a South African population.
Afr J Thorac Crit Care Med
October 2024
Department of Medicine, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Article Synopsis
- Pulmonary complications are a significant health issue for patients with idiopathic inflammatory myopathies (IIMs) in South Africa, causing high morbidity and mortality rates.
- A study reviewed clinical records of adult IIM patients with respiratory issues in a tertiary care facility, revealing that most patients suffered from dermatomyositis and exhibited symptoms like dyspnoea and dry cough.
- Interstitial lung disease (ILD) emerged as the most common complication, with associations found between respiratory symptoms and poorer lung function outcomes over time.
Orbital Myositis as a Paradoxical Reaction to Anti-Tuberculosis Treatment.
Balkan Med J
January 2025
Department of Internal Medicine, Tokyo Metropolitan Matsuzawa Hospital, Setagaya, Tokyo, Japan
One-year survival benefit of plasma exchange in idiopathic inflammatory myositis patients with progressive interstitial lung disease-a systemic review and meta-analysis.
Semin Arthritis Rheum
December 2024
Division of Rheumatology, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. Electronic address:
Objectives: This study aimed to systematically evaluate the efficacy of plasma exchange (PLEX) in patients with idiopathic inflammatory myositis (IIM) complicated by interstitial lung disease (ILD).
Method: We conducted a comprehensive literature search in Medline and EMBASE from their inception to August 2023, focusing on randomized controlled trials, cohort studies, and case-control studies involving IIM patients with ILD treated with PLEX compared to those treated with standard therapies. The primary outcome was the one-year survival rate.
Tubercular pyomyositis: A case series.
Indian J Tuberc
October 2024
Department of Internal Medicine, Sir Ganga Ram Hospital, New Delhi, India. Electronic address:
Tuberculosis is one of the endemic diseases in India. Tuberculosis can involve almost every organ of the body, however isolated muscle involvement is considered rare. We hereby report a series of three cases of tubercular pyomyositis to highlight the importance of high clinical suspicion in endemic countries like India, in both immunocompetent and immunocompromised individuals, presenting with persistent fever and musculoskeletal symptoms.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!