Research Article

QuantiFERON-TB Gold Test Conversion Is Associated with Active Tuberculosis Development in Inflammatory Bowel Disease Patients Treated with Biological Agents: An Experience of a Medical Center in Taiwan

Table 4

Clinical characteristics of patients with active tuberculosis infection after biological treatment.

Case number#8#21#53

Disease typeUCUCCD
SexMaleMaleMale
Diagnostic age (years)473724
Age at biological agent (years)513924
Diagnosis interval of TB (months)62421
BMI (kg/m2)24.120.124.1
ComorbidityHBVNoNo
Concomitant treatmentMesalazine, azathioprineMesalazine, azathioprine, prednisoloneMesalazine, mercaptopurine
Biological agent period (months, m)Adalimumab 6 mAdalimumab 6 m
Adalimumab 4 m
Infliximab 10 m
Adalimumab 12 m
Adalimumab 5 m
TB exposureNoNoNo
TB historyNoNoNo
BCG vaccinationYesYesYes
Pre-QuantiFERON-TB testNegativeNegativeNegative
Post-QuantiFERON-TB testPositivePositivePositive
Anti-TB prophylaxisNoNoNo
TB locationPulmonaryPulmonaryPulmonary
Diagnostic method of TB infectionCXR, chest CT, sputum AFS, sputum TB PCR, sputum cultureCXR, sputum AFS, sputum TB PCR, sputum cultureSputum culture
SymptomsFeverFever, dyspneaNo
Course of TB treatmentCuredCuredCured

AFS: acid-fast stain; BCG: Bacillus Calmette-Guérin; BMI: body mass index; CD: Crohn’s disease; CT: computed tomography; CXR: chest X-ray; HBV: hepatitis B virus; PCR: polymerase chain reaction; TB: tuberculosis; UC: ulcerative colitis.