Role of Low-Dose Infliximab for Inflammatory Complications of Central Nervous System Tuberculosis: A Retrospective Cohort Study

We evaluated low-dose infliximab (5 mg/kg) as adjunctive therapy in 20 patients with severe central nervous system tuberculosis. At 3 months, 60% achieved disability-free survival (modified Rankin Scale ≤ 2), and 75% showed clinically meaningful improvement. Our outcomes matched reports of high-dose infliximab. Randomized trials to optimize dosing are needed.

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Publication Details

Journal
Clinical Infectious Diseases
Published
2025-10-15
DOI
https://doi.org/10.1093/cid/ciaf573
Primary Topic
Infectious Diseases and Tuberculosis
Type
article
Field-Weighted Citation Impact
0.00
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article

Role of Low-Dose Infliximab for Inflammatory Complications of Central Nervous System Tuberculosis: A Retrospective Cohort Study

Gigi Varghese, Harshad Arvind Vanjare, Prabhakar Thirumal Appaswamy, Rajiv Karthik et al.
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Role of Low-Dose Infliximab for Inflammatory Complications of Central Nervous System Tuberculosis: A Retrospective Cohort Study

Gigi Varghese, Harshad Arvind Vanjare, Prabhakar Thirumal Appaswamy, Rajiv Karthik, Selwyn Selva Kumar D, Dr Abi Manesh, Dr Nishi Somarkutty, Joy Sarojini Michael, Priyanka Gautam, Jayavelu Hariram Prasad D, Veerasamy Nagaraj
article en

Abstract

We evaluated low-dose infliximab (5 mg/kg) as adjunctive therapy in 20 patients with severe central nervous system tuberculosis. At 3 months, 60% achieved disability-free survival (modified Rankin Scale ≤ 2), and 75% showed clinically meaningful improvement. Our outcomes matched reports of high-dose infliximab. Randomized trials to optimize dosing are needed.

Clinical Infectious Diseases
Christian Medical College, Vellore (IN), Christian Medical College (IN)
Good health and well-being
Openalex Percentile: Top 21%
Infectious Diseases and Tuberculosis
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