Anti-tumor necrosis factor alpha (anti-TNF-α) is used in the treatment of rheumatic diseases not responsive to first-line regimens. Data on the safety of anti-TNF-α in HIV-infected patients are scarce and conflicting. We describe a case of septic shock and multiorgan failure that occurred after etanercept initiation and influenza vaccination in an HIV-infected woman with rheumatoid arthritis.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3647743PMC
http://dx.doi.org/10.1128/CVI.00081-13DOI Listing

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