Naslov
Salmonella enterica arthritis in a rheumatoid arthritis patient under anti-tumor necrosis factor therapy

Autori
Bubonja-Šonje, Marina ; Rubinić, Dušan ; Anić, Felina ; Novak, Srdjan ; Vučković, Darinka ; Abram, Maja

Izvornik
West indian medical journal (0043-3144) 62 (2013), 3; 270-272

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
anti-TNF treatment; knee infection; Salmonella Enteritidis

Sažetak
Anti-tumor necrosis factor (TNF) monoclonal antibodies have become an invaluable treatment against chronic inflammatory diseases such as rheumatoid arthritis (RA). However, due to increased risk of opportunistic infections, patients receiving anti-TNF therapy should be closely monitored for serious infections. Here we describe a case of acute Salmonella Enteritidis infection of a joint arthroplasty that previously was functioning well, in a patient receiving infliximab treatment for RA. After prolonged antimicrobial chemotherapy and interrupted infliximab treatment, reimplantation of a new prosthesis was successfuly performed two years after Salmonella septic arthritis. Therefore, because of possibility of extraintestinal salmonellosis, screening for fecal colonization could be advisable in patients undergoing anti-TNF treatment. Moreover, we emphasize the importance of appropriate counseling of these patients concerning food hygiene.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

Napomena
The Association of Surgeons in Jamaica Conference.

POVEZANOST RADA