Korean J Gastrointest Endosc.  2007 Jun;34(6):339-342.

Tuberculous Meningitis in a Patient with Crohn's Disease, Which was Treated with Infliximab

Affiliations
  • 1Department of Gastroenterology, Korea University Medical Center Guro Hospital, Seoul, Korea. gi7pjj@yahoo.co.kr
  • 2Infectious Department, Korea University Medical Center Guro Hospital, Seoul, Korea.

Abstract

Clinical trials of tumor necrosis factor (TNF) inhibitor have demonstrated significant efficacy in those patients with Crohn's disease that is not responsive to other anti-inflammatory drug. Infliximab is a human-murine chimeric monoclonal antibody with a high binding affinity and specificity for TNF-alpha. Yet therapy with infliximab is associated with an increased risk of opportunistic infection, and especially tuberculosis. Here we reported on a case of tuberculous meningitis in 26-year-old man, and he was treated with infliximab for uncontrolled and fistulous Crohn's disease. We also include a review of the literature.

Keyword

Crohn's disease; Tuberculous meningitis; Infliximab

MeSH Terms

Adult
Crohn Disease*
Humans
Opportunistic Infections
Sensitivity and Specificity
Tuberculosis
Tuberculosis, Meningeal*
Tumor Necrosis Factor-alpha
Infliximab
Tumor Necrosis Factor-alpha
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