E-ISSN 2534-9821
 

Case Report 


Reactivation of latent tuberculosis associated with methotrexate therapy

Abiramy Muraleetharan, Pirasath Selladurai, Kumanan Thirunavukarasu, Gowry Selvaratnam, Sujanitha Vathulan.

Abstract
Tuberculosis is highly prevalent in developing world. Post primary tuberculosis occurs in the setting of depressed immunity commonly affecting the lungs. Reactivation of tuberculosis concomitantly at different non-pulmonary sites is very uncommon. Here we report an immunocompetent male with rheumatoid arthritis presented with reactivation of cutaneous and meningeal tuberculosis while on low dose methotrexate therapy. The case report highlights the fact that the treating clinician should be vigilant enough to suspect reactivation of latent tuberculosis even with non biological disease modifying anti rheumatoid drugs therapy in tropical world.

Key words: Tuberculosis, rheumatoid arthritis, methotrexate, cutaneous abscess


 
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How to Cite this Article
Pubmed Style

Muraleetharan A, Selladurai P, Thirunavukarasu K, Selvaratnam G, Vathulan S. Reactivation of latent tuberculosis associated with methotrexate therapy. Int J Med Rev Case Rep. 2019; 3(5): 284-285. doi:10.5455/IJMRCR.latent-tuberculosis


Web Style

Muraleetharan A, Selladurai P, Thirunavukarasu K, Selvaratnam G, Vathulan S. Reactivation of latent tuberculosis associated with methotrexate therapy. http://www.mdpub.net/?mno=29647 [Access: September 21, 2020]. doi:10.5455/IJMRCR.latent-tuberculosis


AMA (American Medical Association) Style

Muraleetharan A, Selladurai P, Thirunavukarasu K, Selvaratnam G, Vathulan S. Reactivation of latent tuberculosis associated with methotrexate therapy. Int J Med Rev Case Rep. 2019; 3(5): 284-285. doi:10.5455/IJMRCR.latent-tuberculosis



Vancouver/ICMJE Style

Muraleetharan A, Selladurai P, Thirunavukarasu K, Selvaratnam G, Vathulan S. Reactivation of latent tuberculosis associated with methotrexate therapy. Int J Med Rev Case Rep. (2019), [cited September 21, 2020]; 3(5): 284-285. doi:10.5455/IJMRCR.latent-tuberculosis



Harvard Style

Muraleetharan, A., Selladurai, . P., Thirunavukarasu, . K., Selvaratnam, . G. & Vathulan, . S. (2019) Reactivation of latent tuberculosis associated with methotrexate therapy. Int J Med Rev Case Rep, 3 (5), 284-285. doi:10.5455/IJMRCR.latent-tuberculosis



Turabian Style

Muraleetharan, Abiramy, Pirasath Selladurai, Kumanan Thirunavukarasu, Gowry Selvaratnam, and Sujanitha Vathulan. 2019. Reactivation of latent tuberculosis associated with methotrexate therapy. International Journal of Medical Reviews and Case Reports, 3 (5), 284-285. doi:10.5455/IJMRCR.latent-tuberculosis



Chicago Style

Muraleetharan, Abiramy, Pirasath Selladurai, Kumanan Thirunavukarasu, Gowry Selvaratnam, and Sujanitha Vathulan. "Reactivation of latent tuberculosis associated with methotrexate therapy." International Journal of Medical Reviews and Case Reports 3 (2019), 284-285. doi:10.5455/IJMRCR.latent-tuberculosis



MLA (The Modern Language Association) Style

Muraleetharan, Abiramy, Pirasath Selladurai, Kumanan Thirunavukarasu, Gowry Selvaratnam, and Sujanitha Vathulan. "Reactivation of latent tuberculosis associated with methotrexate therapy." International Journal of Medical Reviews and Case Reports 3.5 (2019), 284-285. Print. doi:10.5455/IJMRCR.latent-tuberculosis



APA (American Psychological Association) Style

Muraleetharan, A., Selladurai, . P., Thirunavukarasu, . K., Selvaratnam, . G. & Vathulan, . S. (2019) Reactivation of latent tuberculosis associated with methotrexate therapy. International Journal of Medical Reviews and Case Reports, 3 (5), 284-285. doi:10.5455/IJMRCR.latent-tuberculosis