Aseptic Abscess Syndrome in a Patient with Rheumatoid Arthritis: A Case Report/Síndrome de abscesos asépticos en paciente con artritis reumatoide: reporte de caso

Aseptic Abscess Syndrome in a Patient with Rheumatoid Arthritis: A Case Report/Síndrome de abscesos asépticos en paciente con artritis reumatoide: reporte de caso

Aseptic abscess syndrome is a rare and possibly underdiagnosed condition characterized by the presence of sterile neutrophilic collections in various tissues that do not respond to antimicrobial therapy but rather require anti-inflammatory treatment. There is limited literature linking this conditio...

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Bibliographic Details
Published in:Iatreia (Medellín, Colombia) Vol. 37; no. 1; p. 97
Main Authors: Gonzalez-Velasquez, Miguel, Velasquez-Franco, Carlos Jaime, Bernal-Macias, Santiago, Gutierrez-Bolanos, Johann
Format: Journal Article
Language:Spanish
Published: Universidad de Antioquia, Facultad de Medicina 01-01-2024
Subjects:
Abscess
Adalimumab
Arthritis
Care and treatment
Corticosteroids
Development and progression
Diagnosis
Insulin glargine
Metronidazole
Rheumatoid factor
Type 2 diabetes
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Summary:Aseptic abscess syndrome is a rare and possibly underdiagnosed condition characterized by the presence of sterile neutrophilic collections in various tissues that do not respond to antimicrobial therapy but rather require anti-inflammatory treatment. There is limited literature linking this condition to rheumatoid arthritis. Here, we present the case of a patient with rheumatoid arthritis, presenting with prolonged febrile syndrome and multiple sterile abscesses. A diagnosis of aseptic abscess syndrome was made, and successful resolution of the abscesses was achieved following treatment with glucocorticoid pulses and infliximab. Clinicians should consider this condition in patients with inflammatory diseases who develop abscesses in different tissues where no causative microbiological agent can be identified.
ISSN:0121-0793
DOI:10.17533/udea.iatreia.231