Paradoxical response to antituberculous therapy in infliximab-treated patients with disseminated tuberculosis.

Garcia Vidal, Carolina; Rodríguez Fernández, Serena; Martínez Lacasa, Javier; Salavert, Miquel; Vidal, Rafael; Rodríguez Carballeira, Monica; Garau, Javier · Clin Infect Dis · 2005

case_report · Level V

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Abstract

Six of 284 patients treated with infliximab developed active tuberculosis. Four (67%) of these patients had a paradoxical response to antituberculous therapy. Physicians should be aware of the increased risk of a paradoxical response in this population and should consider the use of corticosteroids when a paradoxical reaction is suspected.

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