Heart failure as an adverse effect of infliximab for Crohn's disease: A case report and review of the literature

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Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorDigestive Disease Center ClínicaUniversidad de los Andes-
Autor(es): dc.creatorGrillo, Thais Gagno-
Autor(es): dc.creatorAlmeida, Luciana Rocha-
Autor(es): dc.creatorBeraldo, Rodrigo Fedatto-
Autor(es): dc.creatorMarcondes, Mariana Barros-
Autor(es): dc.creatorQueiróz, Diego Aparecido Rios-
Autor(es): dc.creatorda Silva, Daniel Luiz-
Autor(es): dc.creatorQuera, Rodrigo-
Autor(es): dc.creatorBaima, Julio Pinheiro-
Autor(es): dc.creatorSaad-Hossne, Rogerio-
Autor(es): dc.creatorSassaki, Ligia Yukie-
Data de aceite: dc.date.accessioned2025-08-21T17:51:08Z-
Data de disponibilização: dc.date.available2025-08-21T17:51:08Z-
Data de envio: dc.date.issued2022-04-29-
Data de envio: dc.date.issued2022-04-29-
Data de envio: dc.date.issued2021-11-25-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.12998/wjcc.v9.i33.10382-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/230038-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/230038-
Descrição: dc.descriptionBackground Anti-tumor necrosis factor agents were the first biologic therapy approved for the management of Crohn's disease (CD). Heart failure (HF) is a rare but potential adverse effect of these medications. The objective of this report is to describe a patient with CD who developed HF after the use of infliximab. Case Summary A 50-year-old woman with a history of hypertension and diabetes presented with abdominal pain, diarrhea, and weight loss. Colonoscopy and enterotomography showed ulcerations, areas of stenosis and dilation in the terminal ileum, and thickening of the intestinal wall. The patient underwent ileocolectomy and the surgical specimen confirmed the diagnosis of stenosing CD. The patient started infliximab and azathioprine treatment to prevent post-surgical recurrence. At 6 mo after initiating infliximab therapy, the patient complained of dyspnea, orthopnea, and paroxysmal nocturnal dyspnea that gradually worsened. Echocardiography revealed biventricular dysfunction, moderate cardiac insufficiency, an ejection fraction of 36%, and moderate pericardial effusion, consistent with HF. The cardiac disease was considered an infliximab adverse effect and the drug was discontinued. The patient received treatment with diuretics for HF and showed improvement of symptoms and cardiac function. Currently, the patient is using Conclusion This reported case supports the need to investigate risk factors for HF in inflammatory bowel disease patients and to consider the risk-benefit of introducing infliximab therapy in such patients presenting with HF risk factors.-
Descrição: dc.descriptionDepartment of Internal Medicine São Paulo State University (Unesp) Medical School-
Descrição: dc.descriptionDepartment of Pathology São Paulo State University (Unesp) Medical School-
Descrição: dc.descriptionInflammatory Bowel Disease Program Digestive Disease Center ClínicaUniversidad de los Andes-
Descrição: dc.descriptionDepartment of Internal Medicine São Paulo State University (Unesp) Medical School-
Descrição: dc.descriptionDepartment of Pathology São Paulo State University (Unesp) Medical School-
Formato: dc.format10382-10391-
Idioma: dc.languageen-
Relação: dc.relationWorld Journal of Clinical Cases-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectAnti-tumor necrosis factor therapy-
Palavras-chave: dc.subjectCase report-
Palavras-chave: dc.subjectCrohn's disease-
Palavras-chave: dc.subjectHeart failure-
Palavras-chave: dc.subjectInflammatory bowel disease-
Palavras-chave: dc.subjectInfliximab-
Título: dc.titleHeart failure as an adverse effect of infliximab for Crohn's disease: A case report and review of the literature-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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