Tuberculosis Infection in a 58-Year-Old with Psoriasis

A 58-year-old male with a 10-year history of psoriasis presented to the clinic for worsening of psoriasis after a month-long hospital admission for a military tuberculosis infection. The patient received antituberculous medications during his admission and was advised to continue the regimen for an additional 8 months. At that time, his psoriasis medication, adalimumab, was immediately discontinued. Subsequently, his psoriasis worsened, affecting a significant proportion of his body. The patient was previously using adalimumab for 3 years with considerable benefit. Of note, before starting adalimumab, the patient tested positive for latent tuberculosis and was prescribed isoniazid. However, it was unclear if the patient was compliant with his medication. The patient denied fever, chills, and night sweats. However, he continued to experience fatigue and poor weight gain. He did not have any other medical conditions.