EC Clinical and Medical Case Reports

A 27-years-old female patient with lower limb rest pain and upper limb claudication. Blood culture revealed Streptococcus sanguinis. Diagnosis of Takayasu Arteritis (TA) with infective endocarditis was established based on her investigation result, patient started pulse corticosteroid then bridged to methotrexate. A few days later after response, a sudden early relapse occurred. We started Tocilizumab and she improved. Our case has an unusual presentation of TA with infective endocarditis. Tocilizumab is a promising treatment for TA especially in such cases with early relapse, but we have to emphasize its high efficacy in the long term.

 Keywords: Takayasu Arteritis; Infective Endocarditis; Vasculitis, Iliac Aneurysm; Tocilizumab; Alveolar Hemorrhage

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