Severe glandular tularemia in a patient treated with anti-tumour necrosis factor for psoriatic arthritis

oleh: Ruxandra Calin, Eric Caumes, Florence Reibel, Anzime Ali Mohamed, Florence Brossier, Violaine Foltz, Samia Boussouar, Bruno Fautrel, Max Maurin, Christine Katlama, Valérie Pourcher

Format: Article
Diterbitkan: Elsevier 2017-07-01

Deskripsi

A case of severe glandular tularemia in a patient receiving anti-tumour necrosis factor (TNF) therapy is reported here. The patient required prolonged treatment with doxycycline–ciprofloxacin due to early relapse after ciprofloxacin was stopped. Tularemia may have a more severe course in patients receiving anti-TNF. This may thus be an indication for more aggressive treatment.