Latent tuberculosis infection in patients with rheumatic diseases

Bibliographic Details
Title: Latent tuberculosis infection in patients with rheumatic diseases
Authors: Anton, Camila, Machado, Felipe Dominguez, Ramirez, Jorge Mario Ahumada, Bernardi, Rafaela Manzoni, Palominos, Penélope Esther, Brenol, Claiton Viegas, Mello, Fernanda Carvalho de Queiroz, Silva, Denise Rossato
Source: Jornal Brasileiro de Pneumologia. January 2019 45(2)
Publisher Information: Sociedade Brasileira de Pneumologia e Tisiologia, 2019.
Publication Year: 2019
Subject Terms: Tuberculosis, Latent tuberculosis, Tuberculin skin test, Anti-TNF therapy, Tumor necrosis factor-alpha, Rheumatoid arthritis
More Details: Most people infected by Mycobacterium tuberculosis (Mtb) do not have any signs or disease symptoms, a condition known as latent tuberculosis infection (LTBI). The introduction of biological agents, mainly tumor necrosis factor (TNF) inhibitors, for the treatment of immune-mediated diseases such as Rheumatoid Arthritis (RA) and other rheumatic diseases, increased the risk of reactivation of LTBI, leading to development of active TB. Thus, this review will approach the aspects related to LTBI in patients with rheumatologic diseases, especially those using iTNF drugs. For this purpose it will be considered the definition and prevalence of LTBI, mechanisms associated with diseases and medications in use, criteria for screening, diagnosis and treatment. Considering that reactivation of LTBI accounts for a large proportion of the incidence of active TB, adequate diagnosis and treatment are crucial, especially in high-risk groups such as patients with rheumatologic diseases.
Document Type: article
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Language: English
ISSN: 1806-3713
DOI: 10.1590/1806-3713/e20190023
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  Data: <i>Jornal Brasileiro de Pneumologia</i>. January 2019 45(2)
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  Data: Sociedade Brasileira de Pneumologia e Tisiologia, 2019.
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  Data: 2019
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  Data: <searchLink fieldCode="DE" term="%22Tuberculosis%22">Tuberculosis</searchLink><br /><searchLink fieldCode="DE" term="%22Latent+tuberculosis%22">Latent tuberculosis</searchLink><br /><searchLink fieldCode="DE" term="%22Tuberculin+skin+test%22">Tuberculin skin test</searchLink><br /><searchLink fieldCode="DE" term="%22Anti-TNF+therapy%22">Anti-TNF therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Tumor+necrosis+factor-alpha%22">Tumor necrosis factor-alpha</searchLink><br /><searchLink fieldCode="DE" term="%22Rheumatoid+arthritis%22">Rheumatoid arthritis</searchLink>
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  Data: Most people infected by Mycobacterium tuberculosis (Mtb) do not have any signs or disease symptoms, a condition known as latent tuberculosis infection (LTBI). The introduction of biological agents, mainly tumor necrosis factor (TNF) inhibitors, for the treatment of immune-mediated diseases such as Rheumatoid Arthritis (RA) and other rheumatic diseases, increased the risk of reactivation of LTBI, leading to development of active TB. Thus, this review will approach the aspects related to LTBI in patients with rheumatologic diseases, especially those using iTNF drugs. For this purpose it will be considered the definition and prevalence of LTBI, mechanisms associated with diseases and medications in use, criteria for screening, diagnosis and treatment. Considering that reactivation of LTBI accounts for a large proportion of the incidence of active TB, adequate diagnosis and treatment are crucial, especially in high-risk groups such as patients with rheumatologic diseases.
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