Editor-in-Chief & Deputy Editor 2019-2021





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Case Reports

Miliary tuberculosis following infliximab therapy for Crohn disease : A case report and review of the literature

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We present a case of miliary tuberculosis diagnosed 15 months after infliximab treatment despite negative screening for previous exposure to Mycobacteria on skin PPD and chest X-ray. This case shows that although screening for TB with a skin PPD and a chest X-ray should be performed in all patients this is not 100% effective and may be a problem in patients on concomitant immunosuppression. The clinical course of this patient further shows that in a patient treated with anti-TNF antibodies whos condition does not improve one should always be aware of the possibility of a tuberculosis infection. Even though tuberculosis is usually not rapidly fatal, the disease may show a fulminant course in immunocompromised patients. [Product Details...]