Abstract
Tumour necrosis factor (TNF)-α inhibitors are registered for treatment of several severe dermatologic, rheumatologic and gastrointestinal diseases. Due to TNF-α's important role in the immune system patients have increased risk of serious infections during treatment with TNF-α inhibitor. We here present a case of miliary tuberculosis complicated by pericardial effusion in a Danish man treated with TNF-α inhibitor that emphasizes the need for rapid examination of new symptoms in this patient category.
MeSH terms
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Adalimumab / adverse effects*
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Adalimumab / therapeutic use
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Antirheumatic Agents / adverse effects*
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Antirheumatic Agents / therapeutic use
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Antitubercular Agents / therapeutic use
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Humans
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Male
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Middle Aged
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Mycobacterium tuberculosis / isolation & purification
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Radiography
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Spondylitis, Ankylosing / drug therapy
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Tuberculosis, Miliary / diagnosis*
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Tuberculosis, Miliary / diagnostic imaging
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Tuberculosis, Miliary / drug therapy
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Tuberculosis, Miliary / immunology*
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Tumor Necrosis Factor-alpha / antagonists & inhibitors*
Substances
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Antirheumatic Agents
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Antitubercular Agents
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Tumor Necrosis Factor-alpha
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Adalimumab