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J Korean Rheum Assoc. 2008 Jun;15(2):175-179. Korean. Case Report.
Lee KS , Lee HY , Lee SW , Jung HJ , Song JS .
Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea.
Department of Orthopedic Surgery, Chung-Ang University College of Medicine, Seoul, Korea.

Tumor necrosis factor (TNF)-alpha blockade has been well proved to significantly improve the disease course of rheumatoid arthritis. However, since TNF-alpha plays an important role in the immune system against external infectious organisms, it was reported that TNF-alpha blockade could increase the frequency of serious opportunistic infections such as tuberculosis. Fungal bursitis is a rare infectious disease following sever infections, malignancies and immune deficiencies. Moreover, there was no report on fungal bursitis occurring after administration of TNF-alpha blockade in Korea to date. Recently we experienced a 58-year-old female patient with rheumatoid arthritis who presented soft buttock mass after treatment with etanercept and was finally diagnosed as fungal bursitis by Candida parapsilosis.

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