E-ISSN 2534-9821
 

Case Report 


Reactivation of latent tuberculosis associated with methotrexate therapy

Pirasath Selladurai , Abiramy Muraleetharan, 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

PS, Muraleetharan A, 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

PS, Muraleetharan A, Thirunavukarasu K, Selvaratnam G, Vathulan S. Reactivation of latent tuberculosis associated with methotrexate therapy. http://www.mdpub.net/?mno=29647 [Access: January 28, 2020]. doi:10.5455/IJMRCR.latent-tuberculosis


AMA (American Medical Association) Style

PS, Muraleetharan A, 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

PS, Muraleetharan A, Thirunavukarasu K, Selvaratnam G, Vathulan S. Reactivation of latent tuberculosis associated with methotrexate therapy. Int J Med Rev Case Rep. (2019), [cited January 28, 2020]; 3(5): 284-285. doi:10.5455/IJMRCR.latent-tuberculosis



Harvard Style

, P. S., Muraleetharan, . A., 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

, Pirasath Selladurai, Abiramy Muraleetharan, 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

, Pirasath Selladurai, Abiramy Muraleetharan, 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

, Pirasath Selladurai, Abiramy Muraleetharan, 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

, P. S., Muraleetharan, . A., 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