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      Histoplasmosis complicating tumor necrosis factor-α blocker therapy: a retrospective analysis of 98 cases.

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          Abstract

          Histoplasmosis may complicate tumor necrosis factor (TNF)-α blocker therapy. Published case series provide limited guidance on disease management. We sought to determine the need for long-term antifungal therapy and the safety of resuming TNF-α blocker therapy after successful treatment of histoplasmosis.

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          Author and article information

          Journal
          Clin. Infect. Dis.
          Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
          Oxford University Press (OUP)
          1537-6591
          1058-4838
          Aug 01 2015
          : 61
          : 3
          Affiliations
          [1 ] Division of Infectious Diseases, University of Pittsburgh School of Medicine, Pennsylvania.
          [2 ] Division of Infectious Disease, Johns Hopkins Hospital, Baltimore, Maryland.
          [3 ] MiraVista Diagnostics and Mirabella Technologies, Indianapolis, Indiana.
          [4 ] Division of Pediatric Gastroenterology, Hepatology and Nutrition, and Center for Innovation in Pediatric Practice, The Research Institute, Nationwide Children's Hospital, Columbus, Ohio.
          [5 ] Department of Internal Medicine, University of Kansas School of Medicine, Wichita.
          [6 ] Division of Infectious Diseases, University of Kansas Medical Center, Kansas City.
          [7 ] Division of Infectious Disease, Wright State University Boonshoft School of Medicine, Dayton, Ohio.
          [8 ] Division of Infectious Diseases, University of Nebraska Medical Center, Omaha.
          [9 ] Infectious Disease Associates of Kansas City, Missouri.
          [10 ] Department of Medicine, Meritus Medical Center, Hagerstown, Maryland.
          [11 ] Division of Infectious Disease, University of Kentucky, Lexington.
          [12 ] Department of Medicine and Medical Microbiology and Immunology, University of Wisconsin, Madison.
          [13 ] Long Island Infectious Disease Associates, Huntington, New York.
          [14 ] Division of Infectious Disease, University of Michigan Medical School, Ann Arbor.
          [15 ] Division of Infectious Diseases, Kaiser Permanente, Fontana, California.
          [16 ] Ellis Hospital Schenectady, New York.
          [17 ] Division of Infectious Diseases, University of Iowa, Iowa City.
          [18 ] Samaritan Infectious Disease, Corvallis, Oregon.
          [19 ] Division of Infectious Diseases, Southern Illinois University School of Medicine, Springfield.
          [20 ] Indiana University Health Ball Memorial Hospital, Muncie.
          [21 ] Division of Infectious Diseases, Mayo Clinic, Rochester, Minnesota.
          [22 ] Pulmonary-Critical Care Medicine, Indiana University, Indianapolis.
          Article
          civ299
          10.1093/cid/civ299
          4796723
          25870331
          8eaf041a-5058-496a-95f5-ed79dffe334e
          History

          adalimumab,etanercept,histoplasmosis,immune reconstitution syndrome,infliximab

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