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

Clin Infect Dis. 2005 Mar 1;40(5):756-9. doi: 10.1086/427941. Epub 2005 Feb 4.

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.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Antibodies, Monoclonal / adverse effects*
  • Antibodies, Monoclonal / therapeutic use*
  • Antitubercular Agents / adverse effects*
  • Antitubercular Agents / therapeutic use
  • Arthritis, Rheumatoid / drug therapy
  • Crohn Disease / drug therapy
  • Female
  • Humans
  • Immunosuppressive Agents / adverse effects
  • Immunosuppressive Agents / therapeutic use
  • Infliximab
  • Male
  • Middle Aged
  • Retrospective Studies
  • Spondylitis, Ankylosing / drug therapy
  • Tuberculosis, Pulmonary / drug therapy*

Substances

  • Antibodies, Monoclonal
  • Antitubercular Agents
  • Immunosuppressive Agents
  • Infliximab