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Challenges in tuberculosis screening before TNF-α inhibitors: A case report highlighting gaps in current practice
Aurelie J F Schroë1, Marijke Rutten2, Sami O Simons2
1Department of Respiratory Medicine, Imeldaziekenhuis, Bonheiden, Belgium.
Summary
Diagnosing tuberculosis (TB) in immunocompromised patients is challenging. Dual testing strategies and repeated screening may improve detection of TB in high-risk individuals on TNF-α inhibitors.
Area of Science:
- Immunology
- Infectious Diseases
- Rheumatology
Background:
- Tumor Necrosis Factor-alpha (TNF-α) inhibitors are used to treat inflammatory conditions like axial spondyloarthritis and Crohn's disease.
- Immunosuppression associated with TNF-α inhibitors increases the risk of opportunistic infections, including tuberculosis (TB).
- Screening for latent TB infection before initiating immunosuppressive therapy is crucial but can be challenging.
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