Visceral leishmaniasis infection in a patient with rheumatoid arthritis treated with etanercept

Clin Rheumatol. 2007 Aug;26(8):1344-5. doi: 10.1007/s10067-006-0356-5. Epub 2006 Jul 25.

Abstract

Visceral leishmaniasis (VL) is a severe disease that can develop in immunocompromised patients. Antitumor necrosis factor-alpha (TNF-alpha) treatment of rheumatoid arthritis can result in clinical benefits, but with an increased risk of opportunistic infections. Leishmania infection in patients treated with TNF-alpha antagonists is extremely rare; for this reason, we report a patient with VL after etanercept treatment who had an unfavorable outcome.

Publication types

  • Case Reports

MeSH terms

  • Arthritis, Rheumatoid / complications
  • Arthritis, Rheumatoid / drug therapy*
  • Arthritis, Rheumatoid / parasitology*
  • Etanercept
  • Fatal Outcome
  • Female
  • Greece
  • Humans
  • Immunocompromised Host
  • Immunoglobulin G / adverse effects*
  • Immunologic Factors / adverse effects*
  • Leishmaniasis, Visceral / chemically induced*
  • Leishmaniasis, Visceral / immunology
  • Middle Aged
  • Receptors, Tumor Necrosis Factor

Substances

  • Immunoglobulin G
  • Immunologic Factors
  • Receptors, Tumor Necrosis Factor
  • Etanercept