Necrotizing fasciitis in a patient receiving tocilizumab for rheumatoid arthritis • Case report

We present a case of necrotizing fasciitis in a 66-year-old Caucasian woman with rheumatoid arthritis receiving tocilizumab, and provide a review of published cases. The patient exhibited no systemic symptoms and discreet cutaneous inflammatory signals at presentation. She was successfully treated w...

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Bibliographic Details
Published in:Reumatología clinica (Barcelona) 2018-05, Vol.14 (3), p.168-170
Main Authors: Rosa-Gonçalves, Diana, Bernardes, Miguel, Costa, Lúcia
Format: Article
Language:English
Subjects:
Antagonistas del factor de necrosis tumoral alfa
Artritis reumatoide
Fascitis necrosante
Infección
Infection
Necrotizing fasciitis
Piel
Rheumatoid arthritis
Skin
Tocilizumab
Tumor necrosis factor antagonists
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Summary:We present a case of necrotizing fasciitis in a 66-year-old Caucasian woman with rheumatoid arthritis receiving tocilizumab, and provide a review of published cases. The patient exhibited no systemic symptoms and discreet cutaneous inflammatory signals at presentation. She was successfully treated with broad-spectrum empiric antibiotic therapy and surgical debridement. Presentamos un caso de fascitis necrosante en una mujer caucásica de 66 años de edad con artritis reumatoide en tratamiento con tocilizumab y se ha realizado una revisión de casos publicados. La paciente ha presentado falta de síntomas sistèc)micos y señales inflamatorias cutáneas discretas. Ha sido tratada con èc)xito con terapia antibiótica empírica de amplio espectro y desbridamiento quirúrgico.
ISSN:2173-5743
2173-5743
DOI:10.1016/j.reumae.2016.10.009