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KMID : 0388220080150020175
Journal of the Korean Rheumatism Association
2008 Volume.15 No. 2 p.175 ~ p.179
A Case of Candida Bursitis Associated with Etanercept Treatment in a Patient with Rheumatoid Arthritis
Lee Kwang-Sun

Jung Ho-Joong
Song Jung-Soo
Lee Ha-Yeon
Lee Sang-Won
Abstract
Tumor necrosis factor (TNF)-alpha blockade has been well proved to significantly improve the disease course of rheumatoid arthritis. However, since TNF-alpha plays an important role in the immune system against external infectious organisms, it was reported that TNF-alpha blockade could increase the frequency of serious opportunistic infections such as tuberculosis. Fungal bursitis is a rare infectious disease following sever infections, malignancies and immune deficiencies. Moreover, there was no report on fungal bursitis occurring after administration of TNF-alpha blockade in Korea to date. Recently we experienced a 58-year-od female patient with rheumatoid arthritis who presented soft buttock mass after treatment with etanercept and was finally diagnosed as fungal bursitis by Candida parapsilosis.
KEYWORD
Etanercept, Candida parapsilosis, Bursitis, Rheumatoid arthritis
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