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Abstracts tagged "Infection"

  • Abstract Number: 2606 • 2017 ACR/ARHP Annual Meeting

    Pneumococcal Vaccination in Patients with Systemic Lupus Erythematosus: A Multicenter Placebo-Controlled Randomized Double-Blind Study

    Sophie Grabar1, Matthieu Groh2, Mathilde Bahuaud3, Nathalie Costedoat-Chalumeau4, Veronique Le Guern5, Renato Fior6, Boris Bienvenu7, eric hachulla8, Mohamed Hamidou9, Jean Sibilia10, Alexis Mathian11, Thomas Hanslik12, Loïc Guillevin for the French Vasculitis Study Group13, Frédéric Batteux3 and Odile Launay14, 1Université Paris Descartes, Sorbonne Paris Cité AP-HP, Unité de Biostatistique et Epidémiologie, Groupe Hospitalier Cochin Broca Hôtel-Dieu, Paris, France; INSERM, UPMC Université Paris 06, Institut Pierre Louis d’épidémiologie et de Santé Publique (IP, Paris, France, 2National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France, 3Université Paris Descartes, Sorbonne Paris Cité AP-HP, Département d’Immunologie Biologique, Groupe Hospitalier Cochin Broca Hôtel-Dieu, Paris, France, Paris, France, 4Service de médecine interne Pôle médecine, Hôpital Cochin, Centre de référence maladies auto-immunes et systémiques rares de l’île de France, Paris, France, 5Department of Internal Medicine, Department of Internal Medicine, Cochin University Hospital, Paris, France, 6Université Paris-Sud, AP-HP, Service de Médecine Interne et Immunologie Clinique, Hôpital Antoine Béclère, Clamart, France, Clamant, France, 7Internal Medicine, Hôpital de la côte de Nacre, Caen, France, 8chru lille hospital, lille, France, 9Medecine Interne, CHU Hôtel Dieu, Nantes, France, 10Department of Rheumatology, Strasbourg University Hospital, Strasbourg, France, 11Université Pierre et Marie Curie, Sorbonne Paris Cité AP-HP, Service de Médecine Interne 2, Centre de Référence National pour le Lupus et le Syndrome des Antiphospholipides, institut E3M, Paris, France, Paris, France, 12Université Versailles Saint-Quentin-en-Yvelines, APHP, Service de Médecine Interne, Hôpital Ambroise Paré, Boulogne-Billancourt, France, Boulogne-Billancourt, France, 13Service de Médecine Interne, Centre de Référence Maladies Auto-Immunes et Auto-Inflammatoires Systémiques Rares, Hôpital Cochin, Paris, France, 14Université Paris Descartes, Sorbonne Paris Cité AP-HP, Groupe Hospitalier Cochin Broca Hôtel-Dieu, Fédération d'Infectiologie, Paris, France; Inserm, F-CRIN I-REIVAC., Paris, France

    Background/Purpose: Invasive pneumococcal disease and respiratory tract infections are both frequent and severe in patients with systemic lupus erythematosus (SLE). This study aimed to compare…
  • Abstract Number: 547 • 2017 ACR/ARHP Annual Meeting

    Long-Term Risk of Serious Infections in Patients with Rheumatoid Arthritis Treated with Rituximab: 5 Year Data from the British Society for Rheumatology Biologics Register for Rheumatoid Arthritis

    Diederik De Cock1, Lianne Kearsley-Fleet1, Lucía Silva Fernández2, Mark Lunt1, Kath Watson1, Deborah P.M. Symmons1,3 and Kimme L. Hyrich1,3, 1Arthritis Research UK Centre for Epidemiology, University of Manchester, Manchester Academic Health Science Centre, Manchester, United Kingdom, 2Arthritis Research UK Centre for Epidemiology, Centre for Musculoskeletal Research, Manchester Academic Health Science Centre, The University of Manchester, Manchester, United Kingdom, 3National Institute of Health Research Manchester Musculoskeletal Biomedical Research Centre, Central Manchester NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, United Kingdom

    Background/Purpose: In the United Kingdom (UK), rituximab (RTX) or a second tumour necrosis factor inhibitor (TNFi) are both permitted treatment options for patients with rheumatoid…
  • Abstract Number: 2738 • 2017 ACR/ARHP Annual Meeting

    Infectious Complications in Systemic Necrotizing Vasculitides: Pooled Analysis of Five Prospective, Randomized, Controlled Trials

    Lafarge Antoine1, Christian Pagnoux2, Xavier Puéchal3, Maxime Samson4, Mohamed Hamidou5, Alexandre Karras6, Thomas Quémeneur7, Matthieu Groh8, Luc Mouthon9, Loïc Guillevin for the French Vasculitis Study Group3 and Benjamin Terrier10, 1Medecine Interne, Hôpital Cochin, Paris, France, 2Mount Sinai Hospital, Toronto, ON, Canada, 3Service de Médecine Interne, Centre de Référence Maladies Auto-Immunes et Auto-Inflammatoires Systémiques Rares, Hôpital Cochin, Paris, France, 4Department of Internal Medicine and Clinical Immunology, Hôpital François Mitterrand, CHU de Dijon, Dijon, France, 5Medecine Interne, CHU Hôtel Dieu, Nantes, France, 6nephrology, HEGP, Paris, France, 7Service de néphrologie, médecine interne et vasculaire, Hôpital de Valenciennes, Valenciennes, France, 8National Referral Center for Rare Systemic Autoimmune Diseases, Hôpital Cochin, AP–HP, Université Paris Descartes, Paris, France, 9Université Paris Descartes Sorbonne Paris, Paris, France, 10Internal Medicine, Cochin University Hospital, Paris, France

    Background/Purpose: Prognosis of patients with systemic necrotizing vasculitides has been markedly improved during the last 2 decades. However, infectious complications remain a major cause of…
  • Abstract Number: 697 • 2017 ACR/ARHP Annual Meeting

    Does Erythrocyte Sedimentation Rate Reflect and Discriminate Flare from Infection in Systemic Lupus Erythematosus? Correlation with Clinical and Laboratory Parameters of Disease Activity

    Valentin S. Schäfer1, Katharina Weiss2, Andreas Krause2 and Wolfgang A. Schmidt3, 1Immanuel Krankenhaus Berlin, Medical Center for Rheumatology Berlin-Buch, Berlin, Germany, 2Medical Centre for Rheumatology Berlin-Buch, Immanuel Krankenhaus Berlin, Berlin, Germany, 3Medical Center for Rheumatology and Clinical Immunology Berlin-Buch, Immanuel Krankenhaus Berlin, Berlin, Germany

    Background/Purpose: ESR is applied for monitoring disease activity in SLE. It is known to be influenced by age and infections. We aimed at evaluating how…
  • Abstract Number: 2785 • 2017 ACR/ARHP Annual Meeting

    Serious Infections Associated with Tofacitinib in Rheumatoid Arthritis Patients Previously Treated with Methotrexate

    Marina Amaral de Avila Machado1, Cristiano S. Moura2, Steve Ferreira Guerra1, Jeffrey R. Curtis3, Michal Abrahamowicz4, Hassan Behlouli1 and Sasha Bernatsky5, 1Department of Medicine, McGill University Health Centre, Montreal, QC, Canada, 21Division of Clinical Epidemiology, McGill University Health Centre, Montreal, QC, Canada, 3Rheumatology & Immunology, University of Alabama at Birmingham, Birmingham, AL, 4Department of Medicine, McGill University Health Centre, Montreak, QC, Canada, 5Divisions of Rheumatology and Clinical Epidemiology, McGill University Health Centre, Montreal, QC, Canada

    Background/Purpose: Little is known about the real-world safety of tofacitinib, an oral Janus kinase inhibitor. We compared serious infections associated with tofacitinib, disease-modifying antirheumatic drugs…
  • Abstract Number: 808 • 2017 ACR/ARHP Annual Meeting

    Assessing the Possible Link between Varicella Zoster Virus and Giant Cell Arteritis Using Clinical Assessment, Serology and Biopsy Antigen Detection – Interim Results from the Giant Cell Arteritis and PET Scan (GAPS) Cohort

    Anthony Sammel1, Katherine Nguyen2, Susan Smith3, Christopher Little3, Janice Brewer2 and Rodger Laurent2, 1Rheumatology, Royal North Shore Hospital, St Leonards, Sydney, Australia, 2Royal North Shore Hospital, St Leonards, Sydney, Australia, 3Raymond Purves Bone and Joint Research Laboratories, Kolling Institute, Sydney, Australia

    Background/Purpose: Recent studies have suggested that giant cell arteritis (GCA) may be triggered by reactivation of varicella zoster virus (VZV) based on high rates of…
  • Abstract Number: 2840 • 2017 ACR/ARHP Annual Meeting

    Clinical Presentation and Outcomes in Patients with Prosthetic Joint Septic Arthritis Who Had One-Stage Versus Two-Stage Joint Replacement

    Mary Louise Fowler1, Kevin Byrne2, Sarah Lieber3, Robert Shmerling4 and Ziv Paz3, 12Boston University School of Medicine, Boston, MA, 2Boston University School of Medicine, Boston, MA, 3Beth Israel Deaconess Medical Center, Boston, MA, 4Rheumatology, Beth Israel Deaconess Medical Center, Boston, MA

    Background/Purpose: Prosthetic joint septic arthritis (PJSA) complicates about 1 to 2 percent of joint replacement surgeries. The management of PJSA usually includes a combination of…
  • Abstract Number: 773 • 2016 ACR/ARHP Annual Meeting

    Risk Factors for Severe Infections in Rituximab Treated Patients: Comparison of Systemic Lupus Erythematosus and Inflammatory Myositis

    Cristiane Medeiros1, Luciana Seguro2, Fernando Henrique Carlos de Souza2, Nadia E Aikawa3 and Eloisa Bonfa4, 1Rheumatology, Hospital das Clinicas, Faculdade de Medicina, University of São Paulo, São Paulo, Brazil, 2Rheumatology Division, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, 3Pediatric Rheumatology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil, 4Rheumatology Divison, Hospital das Clinicas, Faculdade de Medicina, University of São Paulo, São Paulo, Brazil

    Background/Purpose:  The use of Rituximab (RTX) in patients with autoimmune diseases has been associated with an increased incidence of infection and risk factors for this…
  • Abstract Number: 2543 • 2016 ACR/ARHP Annual Meeting

    Impact of Concomitant Methotrexate Administration on the Risk of Infections Among Rheumatoid Arthritis Patients Treated with Anti-TNF in Real-World

    John Kelsall1, Anna Jaroszynska2, Louis Bessette3, Raman Joshi4, Isabelle Fortin5, Jacqueline Stewart6, Keltie Anderson7, Emmanouil Rampakakis8, Eliofotisti Psaradellis9, Francois Nantel10, Karina Maslova11, Brendan Osborne12, Cathy Tkaczyk12 and Allen J Lehman11, 1Rheumatology, University of British Columbia, Vancouver, BC, Canada, 2Private practice, Burlington, ON, Canada, 3Rheumatology, CHUL de Quebec, Quebec, QC, Canada, 4William Osler Health Centre-Brampton Civic Hospital, Brampton, ON, Canada, 5Centre de Rhumatologie De l’Est du Quebec, Rimouski, QC, Canada, 6Penticton Regional Hospital, Penticton, BC, Canada, 7University of Saskatchewan, Saskatoon, SK, Canada, 8JSS Medical Research, St-Laurent, QC, Canada, 9JSS Medical Research, Montreal, QC, Canada, 1019 Green belt Dr, Janssen Inc., Toronto, ON, Canada, 11Janssen Inc., Toronto, ON, Canada, 12Medical Affairs, Janssen Inc., Toronto, ON, Canada

    Background/Purpose:  Methotrexate (MTX) is routinely used among rheumatoid arthritis (RA) patients treated with anti-TNF agents to enhance treatment efficacy and minimize the dose of biologic…
  • Abstract Number: 1000 • 2016 ACR/ARHP Annual Meeting

    Subclinical Cytomegalovirus Viremia Is Associated with Increased Nosocomial Infections and Prolonged Hospitalization in Patients with Systemic Autoimmune Diseases

    John McKinnon1, Junying Zhou2, Jenna Hudy1, Sara Hegab1 and Kathleen Maksimowicz-McKinnon3, 1Henry Ford Hospital, Detroit, MI, 2Infectious Diseases, Henry Ford Hospital, Detroit, MI, 3Rheumatology, Henry Ford Hospital, Detroit, MI

    Background/Purpose: Both subclinical cytomegalovirus (CMV) viremia and CMV disease have been associated with adverse outcomes in select immunosuppressed populations, including an increased incidence of other…
  • Abstract Number: 2575 • 2016 ACR/ARHP Annual Meeting

    The Presence of Staphylococcal Toxins in the Urine of Patients with Rheumatoid Arthritis

    Laura Grace1, Marwan Bukhari2, Robert Lauder3, Lisa Bishop4,5 and Adam Taylor1, 1Lancaster Medical School, Lancaster University, Lancaster, United Kingdom, 2Royal Lancaster Infirmary, Lancaster, United Kingdom, 3Biomedical & Life Sciences, Lancaster University, Lancaster, United Kingdom, 4Biomedical and Life Sciences, Lancaster University, Lancaster, United Kingdom, 5University Hopsitals of Morecambe Bay NHS Trust, Lancaster, United Kingdom

    Background/Purpose:  Rheumatoid arthritis (RA) is a disease of unknown etiology;with a pathogenesis that is due to a mixture of genetic, immunological and environmental factors. A…
  • Abstract Number: 1003 • 2016 ACR/ARHP Annual Meeting

    Ultrasonography Changes during the Course of Septic Arthritis ARE Associated with Functional Outcome

    Emeline Gaigneux1, Grégoire Cormier2, Oriane Merot3, Yves Maugars4 and Benoit Le Goff4, 1rheumatology unit, Nantes University Hospital, Nantes, France, 2rheumatology unit, Hospital, La roche sur Yon, France, 3rheumatology unit, Hospital, Saint Nazaire, France, 4Rheumatology, Nantes University Hospital, Nantes, France

    Background/Purpose:   The main goal of this study was to describe the US changes observed during the course of septic arthritis and their association with…
  • Abstract Number: 2618 • 2016 ACR/ARHP Annual Meeting

    Risk Factors of Severe Infections in Patients with Rheumatoid Arthritis Treated with Tocilizumab in the French Registry Regate (REGISTRY –ROACTEMRA)

    Jacques Morel1,2, Arnaud CONSTANTIN3, Gabriel Baron4, Emmanuelle Dernis5, Rene-Marc Flipo6,7, Stephanie Rist Bouillon8, Bernard Combe9, Jacques-Eric Gottenberg10, Thierry Schaeverbeke11,12, Martin Soubrier13, Olivier Vittecoq14, Maxime Dougados15, Alain Saraux16, Xavier Mariette17, Philippe Ravaud18 and Jean Sibilia19, 1Montpellier University Hospital, Montpellier, France, 2Department of Rheumatology, Hôpital Lapeyronie, Montpellier, France, 3Rheumatology, CHU Purpan - Hôpital Pierre-Paul Riquet, Toulouse, France, 4Hôpital Hôtel Dieu, Paris, France, 5Service de Rhumatologie, Centre Hospitalier, Le Mans, France, 6Rheumatology, Hopital R Salengro CHRU, Lille, France, 7Rheumatology, University Hospital, Lille, France, 8Rhumatologie, Hopital La Source, La Source, France, 9Département Rhumatologie, Hôpital Lapeyronie, Montpellier, France, 10Department of Rheumatology, Strasbourg University Hospital, Strasbourg, France, 11Bordeaux University Hospital, Bordeaux, France, 12Rheumatology, CHU Bordeaux, Bordeaux, France, 13Rheumatology, Department of Rheumatology, CHU Gabriel Montpied, Clermont-Ferrand, France, 14Rheumatology, Rouen University Hospital &INSERM U905, Rouen, France, 15Paris Descartes University, Paris, France, 16Rheumatology, Brest University Medical School Hospital, Brest, France, 17Rheumatology, Rheumatology department, Bicetre Hospital, Paris-Sud University, Le Kremlin Bicetre, France, 18Centre d’Épidémiologie Clinique, AP-HP (Assistance Publique des Hôpitaux de Paris), Hôpital Hôtel Dieu, Paris, France, 19Department of Rheumatology, Strasbourg University Hospital, Strasbourg, France

    Background/Purpose: Observational studies have already reported the risk of serious infections in rheumatoid arthritis (RA) treated with tocilizumab but in limited samples. The aim of…
  • Abstract Number: 1193 • 2016 ACR/ARHP Annual Meeting

    Mortality Rate According to Cause in Patients with Hemophagocytic Lymphohistiocytosis: A Meta-Analysis

    Khushboo Sheth1,2, Chia-Ling Kuo3, Dhruv Modi4 and Christopher Scola5, 1Internal Medicine, University of Connecticut, Farmington, CT, Farmington, CT, 2Rheumatology, Stanford University, Palo Alto, CA, 3Department of Community Medicine and Health Care, University of Connecticut, Farmington, CT, 4Internal Medicine, Jamaica Hospital and Medical Center, New York, NY, 5Rheumatology, Hartford Hospital, Hartford, CT

    Background/Purpose: Hemophagocytic lymphohistiocytosis (HLH) is a rare syndrome of excessive immune activation associated with high mortality. Early diagnosis and treatment can reduce mortality among these patients.…
  • Abstract Number: 2620 • 2016 ACR/ARHP Annual Meeting

    Retrospective Analysis for Determining the Signs and Symptoms of Infections before They Become Serious in Tocilizumab-Treated RA Patients Using a Postmarketing Adverse Events Reporting Database

    Tatsuya Atsumi1, Yoshiaki Ando2, Yukiko Hayashi2, Shinichi Matsuda2, Riwa Tanaka2, Nobuhiro Takagi2 and Ayako Nakasone2, 1Division of Rheumatology, Endocrinology and Nephrology, Hokkaido University Graduate School of Medicine, Sapporo, Japan, 2Chugai Pharmaceutical Co. Ltd., Tokyo, Japan

    Background/Purpose: Given that tocilizumab (TCZ) directly inhibits IL-6 signaling and strongly suppresses the inflammatory reaction, there is concern that the signs and symptoms associated with…
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