Tuberculosis associated with biological therapeutic agents

First case in Uruguay

Authors

  • Ana Inés Gruss Universidad de la República, Facultad de Medicina, Hospital Maciel, Cátedra de Neumología. Residente
  • Soledad Torres Universidad de la República, Facultad de Medicina, Hospital Maciel, Cátedra de Neumología. Residente
  • Juan Pablo Salisbury Universidad de la República, Facultad de Medicina, Hospital Maciel, Cátedra de Neumología. Asistente
  • Eduardo Quintana Universidad de la República, Facultad de Medicina, Hospital Maciel, Cátedra de Neumología. Asistente
  • Pablo Curbelo Universidad de la República, Facultad de Medicina, Hospital Maciel, Cátedra de Neumología. Profesor Agregado

Keywords:

RHEUMATOID ARTHRITIS, BIOLOGICAL THERAPY, TUBERCULOSIS

Abstract

Biologic therapies with anti-tumor necrosis factor alpha (TNF-?) monoclonal antibodies were a revolution in the treatment of rheumatoid arthritis. The use of antibodies implies a high risk of developing pulmonary tuberculosis and thus a thorough assessment is necessary, both upon the initiation of treatment and during patient follow up, to rule out a latent infection or active tuberculosis. The study presents the first clinical case of pulmonary tuberculosis associated with biologic therapy described in Uruguay (adalimumab).

References

(1) Rodríguez De Marco J. Tratamiento de la tuberculosis. Montevideo: Comisión Honoraria de Lucha Antituberculosa y Enfermedades Prevalentes, 2012. Disponible en: http://www.chlaep.org.uy/descargas/publicaciones/tratamiento-de-la-tuberculosis.pdf. Consulta: 30 abril 2012.
(2) Keane J, Gershon S, Wise RP, Mirabile-Levens E, Kasznica J, Schwieterman WD, et al. Tuberculosis associated with infliximab, a tumor necrosis factor alpha-neutralizing agent. N Engl J Med 2001; 345(15):1098-104.
(3) Farga V, Caminero JA. Tuberculosis. 3ª ed. Santiago de Chile: Mediterráneo, 2011. Capítulo 3; p. 27-58.
(4) Farga V, Caminero JA. Tuberculosis. 3ª ed. Santiago de Chile: Mediterráneo, 2011. Capítulo 3; p. 109-38.
(5) Algood HM, Lin PL, Flynn JL. Tumor necrosis factor and chemokine interactions in the formation and maintenance of granulomas in tuberculosis. Clin Infect Dis 2005; 41(Suppl 3):S189-93.
(6) Dixon WG, Hyrich KL, Watson KD, Lunt M, Galloway J, Ustianowski A, et al. Drug-specific risk of tuberculosis in patients with rheumatoid arthritis treated with anti-TNF therapy: results from the British Society for Rheumatology Biologics Register (BSRBR). Ann Rheum Dis 2010; 69(3):522-8.
(7) Beglinger C, Dudler J, Mottet C, Nicod L, Seibold F, Villiger PM, et al. Screening for tuberculosis infection before initiation of anti- TNF-? therapy. Swiss Med Wkly 2007; 137(43-44):620-2.
(8) Carmona L, Gómez-Reino JJ, Rodríguez-Valverde V, Montero D, Pascual-Gómez E, Mola EM, et al. Effectiveness of recommendations to prevent reactivation of latent tuberculosis infection in patients treated with tumor necrosis factor antagonists. Arthritis Rheum 2005; 52(6):1766-72.
(9) Blanco Pérez JJ, Aranda Torres A, Pego Reigosa JM, Núñez Delgado M, Temes Montes E, Guerra Vales JL. Tuberculosis pulmonar en relación con adalimumab: estudio de 3 casos. Arch Bronconeumol 2010; 46(4):203-5.

Published

2012-09-30

How to Cite

1.
Gruss AI, Torres S, Salisbury JP, Quintana E, Curbelo P. Tuberculosis associated with biological therapeutic agents: First case in Uruguay. Rev. Méd. Urug. [Internet]. 2012 Sep. 30 [cited 2024 Nov. 23];28(3):205-8. Available from: https://revista.rmu.org.uy/index.php/rmu/article/view/341

Most read articles by the same author(s)