Tubercular pyomyositis in a case of rheumatoid arthritis being treated with infliximab

Abstract

A 55-year-old woman with rheumatoid arthritis having 4 months previously received two doses of infliximab, presented with fever, hypotension and swelling of right thigh posterolaterally. CT-guided aspiration was performed from the right thigh and revealed acid-fast bacilli (AFB) +++ and mycobacterial culture grew Mycobacterium tuberculosis. The patient improved on anti-tubercular treatment. © Asia Pacific League of Associations for Rheumatology.