Portal Venous ThrombosisDisseminated Tuberculosis in Rheumatoid Arthritis

• Main Authors: Vasanthi Natarajan, Kevin John, David Jose, Pradeep Kalaiselvan, Ashok Kumar Das
• Format: Article
• Language: English
• Published: JCDR Research and Publications Private Limited 2017-06-01
• Series: Journal of Clinical and Diagnostic Research
• Subjects: abdominal tuberculosis; biological agents; rheumatoid arthritis
• Online Access: https://jcdr.net/articles/PDF/10048/27640_CE[Ra1]_F(GH)_PF1(RU_VTNE)_PFA(NC).pdf

Vascular thrombosis is one of the complications of tuberculosis. Deep vein thrombosis and pulmonary thrombosis have been reported with pulmonary and extrapulmonary tuberculosis. Splenic involvement in abdominal tuberculosis is among the rarest manifestations. Disseminated tuberculosis is predominantly reported in rheumatoid arthritis following ingestion of biological agents. Here, we report a case of disseminated tuberculosis in a rheumatoid arthritis patient who was on steroids and methotrexate for a long period, presenting with multiple splenic lesion and portal vein thrombosis, which was not reported earlier. She was treated with antitubercular drugs, anticoagulants and showed improvement.