Anti-tumor necrosis factor-alpha therapy provokes latent leishmaniasis in a patient with rheumatoid arthritis

Ann Clin Lab Sci. 2009 Spring;39(2):192-5.

Abstract

It has been reported that anti-tumor necrosis factor-alpha therapy increases the risk of opportunistic infections including rare case reports of leishmaniasis. Here we report a case of latent cutaneous leishmaniasis, which was provoked by anti-tumor necrosis factor-alpha therapy in a patient with rheumatoid arthritis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Amphotericin B / therapeutic use*
  • Animals
  • Anti-Bacterial Agents / therapeutic use
  • Antibodies, Monoclonal / adverse effects*
  • Antibodies, Monoclonal / therapeutic use*
  • Antiprotozoal Agents / therapeutic use
  • Antirheumatic Agents / therapeutic use*
  • Arthritis, Rheumatoid / complications*
  • Arthritis, Rheumatoid / drug therapy*
  • Biopsy
  • Female
  • Humans
  • Leishmania / isolation & purification
  • Leishmaniasis, Cutaneous / diagnosis*
  • Leishmaniasis, Cutaneous / pathology
  • Nasal Mucosa / parasitology
  • Nasal Mucosa / pathology
  • Nose / pathology*
  • Treatment Outcome
  • Tumor Necrosis Factor-alpha / immunology*

Substances

  • Anti-Bacterial Agents
  • Antibodies, Monoclonal
  • Antiprotozoal Agents
  • Antirheumatic Agents
  • Tumor Necrosis Factor-alpha
  • Amphotericin B