Miliary Histoplasmosis Mimicking Miliary Tuberculosis in a Patient Treated with Tumor Necrosis Factor-α Inhibitor Therapy.

摘要: In patients receiving anti–tumor necrosis factor (TNF)-α agents, a miliary pattern on chest imaging is often attributed to tuberculosis. However, fungal infections (histoplasmosis, blastomycosis, and coccidioidomycosis) metastatic pulmonary disease should also be considered1,2. A 40-year-old woman, diagnosed with ankylosing spondylitis, was in remission adalimumab. She presented 3-week history of fever, night sweats, dyspnea, dry cough. reported exposure demolition dust …