CMAJ • October 26, 2004; 171 (9). doi:10.1503/cmaj.1040563.
© 2004 Canadian Medical Association or its licensors
All editorial matter in CMAJ represents the opinions of the authors and not necessarily those of the Canadian Medical Association.
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Research
Recherche

Case report

Cutaneous nocardiosis complicating management of Crohn's disease with infliximab and prednisone

Sheldon M. Singh, Neil V. Rau, Lawrence B. Cohen and Howard Harris

From the Department of Medicine, Sunnybrook and Women's College Health Sciences Centre, University of Toronto, Toronto, Ont. (Singh, Cohen), the Halton Healthcare Services, Oakville, Ont., and the Credit Valley Hospital, Mississauga, Ont. (Rau, Harris)

INFLIXIMAB IS A CHIMERIC ANTI-TUMOUR NECROSIS FACTOR-{alpha} antibody that is efficacious in treating Crohn's disease. However, its immunomodulatory properties increase susceptibility to opportunistic infections. We present a case of cutaneous Nocardia infection in a patient who was taking infliximab for Crohn's disease. The case illustrates the challenges in the diagnosis and management of this disease and serves as a reminder of the complications associated with the use of immunomodulatory agents.



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