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Case Reports
. 2009 Sep;29(11):1381-4.
doi: 10.1007/s00296-008-0837-8. Epub 2009 Jan 14.

Tuberculous myositis in a patient with ankylosing spondylitis treated with adalimumab

Valdeŕilio Feijó Azevedo  1 , C Parchen, S A Coelho, D C Lacerda, C G Hirth
Affiliations
Case Reports

Tuberculous myositis in a patient with ankylosing spondylitis treated with adalimumab

Valdeŕilio Feijó Azevedo et al. Rheumatol Int. 2009 Sep.

Abstract

We present a rare case of tuberculous myositis in a 36-year-old man with long-standing ankylosing spondylitis treated with adalimumab. We review the association between antitumor necrosis factor therapy and tuberculous myositis. Our case illustrates that the index of suspicion of tuberculosis in these patients, even with atypical clinical features, must be very high and emphasizes that this rare infection may occur even with negative tuberculosis screening before therapy was started.

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