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Clin Neurol Neurosurg . Acute transverse myelitis following SARS-CoV-2 infection during treatment for ulcerative colitis with anti-TNFα therapy

tetano

Editor, Senior Moderator
Clin Neurol Neurosurg


. 2025 Mar 19:252:108854.
doi: 10.1016/j.clineuro.2025.108854. Online ahead of print. Acute transverse myelitis following SARS-CoV-2 infection during treatment for ulcerative colitis with anti-TNFα therapy

Tsuyoshi Hamaguchi[SUP] 1 [/SUP], Michiyo Fujita-Nakata[SUP] 2 [/SUP], Yuri Shojima[SUP] 3 [/SUP], Nobuaki Uchida[SUP] 4 [/SUP], Megumi Nakanishi[SUP] 5 [/SUP], Tohru Itoh[SUP] 6 [/SUP], Masato Asahina[SUP] 7 [/SUP]



Affiliations
Abstract

We report a case of acute transverse myelitis (ATM) following severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in a 59-year-old man. This patient had been treated for ulcerative colitis (UC) for 4.5 years with several medications, including a tumor necrosis factor (TNF)-α inhibitor. Because this patient developed ATM almost concurrently with the onset of coronavirus disease 2019, SARS-CoV-2 infection was considered the likely cause of ATM, although TNF-α inhibitor therapy and the autoimmune condition UC might also have played a role.

Keywords: Acute transverse myelitis; COVID-19; Tumor necrosis factor-α inhibitor; Ulcerative colitis.

 
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