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Rheumatoid meningitis associated with infliximab

Susan Seago1, Edana Stroberg1, Austin Metting1

  • 1Baylor Scott & White Health, Temple, Texas.

Proceedings (Baylor University. Medical Center)
|April 2, 2016
PubMed

We present a patient who had rheumatoid meningitis while on infliximab, a tumor necrosis factor alpha (TNF-α) inhibitor, which initially presented as transient ischemic attacks. Although our patient had been stable on infliximab for several years, her neurologic symptoms improved when her infliximab was held due to active infection and then recurred after reinitiation of therapy. Rheumatoid meningitis is exceedingly rare; however, there have been several other reports of rheumatoid meningitis developing in patients on TNF-α inhibitor therapy.

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