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Orbital cellulitis in a patient receiving infliximab for Ankylosing spondylitis
Jonathan C P Roos1, Andrew J K Ostor
1Department of Medicine, University of Cambridge, Cambridge, United Kingdom. jcpr2@cam.ac.uk
Purpose:
To describe a case of orbital cellulitis arising in a patient treated with an anti-TNFalpha agent.
Design:
Single interventional case report.
Methods:
A 42-year-old man developed severe unilateral orbital cellulitis while receiving infliximab (Remicade, Centocor) treatment for Ankylosing spondylitis (AS) as part of the open-label phase of a trial conducted at our tertiary referral center. Cultures grew Staphylococcus aureus.
Results:
Infliximab treatment was stopped and the patient made a full recovery after receiving appropriate antibiotic therapy. Infliximab therapy was resumed after three weeks.
Conclusions:
Clinical vigilance is warranted when treating patients with anti-TNFalpha agents as these are associated with a diverse and growing number of ophthalmic complications. Resolved infection does not preclude the use of such agents.
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