Reumatología Clínica (English Edition) Reumatología Clínica (English Edition)
Reumatol Clin 2018;14:168-70 - Vol. 14 Num.3 DOI: 10.1016/j.reumae.2016.10.009
Case report
Necrotizing fasciitis in a patient receiving tocilizumab for rheumatoid arthritis • Case report
Fascitis necrosante en un paciente bajo tocilizumab para la artritis reumatoide. Presentación de un caso
Diana Rosa-Gonçalves, , Miguel Bernardes, Lúcia Costa
Rheumatology Department, Centro Hospitalar São João, Portugal
Received 03 August 2016, Accepted 28 October 2016
Abstract

We present a case of necrotizing fasciitis in a 66-year-old Caucasian woman with rheumatoid arthritis receiving tocilizumab, and provide a review of published cases. The patient exhibited no systemic symptoms and discreet cutaneous inflammatory signals at presentation. She was successfully treated with broad-spectrum empiric antibiotic therapy and surgical debridement.

Resumen

Presentamos un caso de fascitis necrosante en una mujer caucásica de 66 años de edad con artritis reumatoide en tratamiento con tocilizumab y se ha realizado una revisión de casos publicados. La paciente ha presentado falta de síntomas sistèc)micos y señales inflamatorias cutáneas discretas. Ha sido tratada con èc)xito con terapia antibiótica empírica de amplio espectro y desbridamiento quirúrgico.

Keywords
Rheumatoid arthritis, Infection, Necrotizing fasciitis, Skin, Tocilizumab, Tumor necrosis factor antagonists
Palabras clave
Artritis reumatoide, Infección, Fascitis necrosante, Piel, Tocilizumab, Antagonistas del factor de necrosis tumoral alfa
Reumatol Clin 2018;14:168-70 - Vol. 14 Num.3 DOI: 10.1016/j.reumae.2016.10.009
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