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Case Reports
. 2017 Nov-Dec;13(6):354-356.
doi: 10.1016/j.reuma.2016.07.005. Epub 2016 Aug 11.

Visceral leishmaniasis in a rheumatoid arthritis patient receiving methotrexate

[Article in English, Spanish]
Delia Reina  1 , Dacia Cerdà  2 , Elena Güell  3 , Joaquín Martínez Montauti  3 , Antonio Pineda  4 , Hèctor Corominas  2
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Free article
Case Reports

Visceral leishmaniasis in a rheumatoid arthritis patient receiving methotrexate

[Article in English, Spanish]
Delia Reina et al. Reumatol Clin. 2017 Nov-Dec.
Free article

Abstract

Patients with rheumatoid arthritis (RA) treated with disease-modifying antirheumatic drugs are susceptible to severe infections such as leishmaniasis. As L. infantum is endemic in the Mediterranean region, it is necessary to rule this infectious process out in any RA patient presenting with fever and pancytopenia. An early diagnosis based on a high suspicion can prevent a fatal outcome.

Keywords: Artritis reumatoide; Kala-azar; Methotrexate; Metotrexato; Rheumatoid arthritis.

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