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However, after resumption of methotrexate due to worsening rheumatoid arthritis, symptoms recurred. The patient initiated antituberculous therapy once more for 6 months, and methotrexate was stopped. At regular follow-up, the patient showed a positive clinical response with resolution of tonsillar ulceration and lymphadenopathy after 14 months of antituberculosis treatment.<\/jats:p>","DOI":"10.1177\/01455613241254685","type":"journal-article","created":{"date-parts":[[2024,5,17]],"date-time":"2024-05-17T07:32:56Z","timestamp":1715931176000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Primary Peritonsillar Tuberculosis in a Rheumatoid Arthritis Patient Treated With Methotrexate"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-9915-9876","authenticated-orcid":false,"given":"Samia","family":"Meherzi","sequence":"first","affiliation":[{"name":"ENT Department, Hospital of Sidi Bouzid, Sidi Bouzid, Tunisia"},{"name":"Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amin","family":"Khbou","sequence":"additional","affiliation":[{"name":"ENT Department, Hospital of Sidi Bouzid, Sidi Bouzid, Tunisia"},{"name":"Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rihab","family":"Omri","sequence":"additional","affiliation":[{"name":"ENT Department, Hospital of Sidi Bouzid, Sidi Bouzid, Tunisia"},{"name":"Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leila","family":"Jerbi","sequence":"additional","affiliation":[{"name":"ENT Department, Hospital of Sidi Bouzid, Sidi Bouzid, Tunisia"},{"name":"Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Afifa","family":"Charfi","sequence":"additional","affiliation":[{"name":"ENT Department, Hospital of Sidi Bouzid, Sidi Bouzid, Tunisia"},{"name":"Faculty of Medicine of Sousse, University of Sousse, Sousse, Tunisia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,5,17]]},"reference":[{"key":"bibr1-01455613241254685","doi-asserted-by":"publisher","DOI":"10.1016\/j.jctube.2020.100162"},{"issue":"6","key":"bibr2-01455613241254685","first-page":"542","volume":"11","author":"Motahari SJ","year":"2019","journal-title":"Iran J Microbiol"},{"key":"bibr3-01455613241254685","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.41.664"},{"key":"bibr4-01455613241254685","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000027616"},{"key":"bibr5-01455613241254685","doi-asserted-by":"publisher","DOI":"10.4103\/2321-4848.154963"},{"key":"bibr6-01455613241254685","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2017-223634"},{"key":"bibr7-01455613241254685","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinthera.2022.05.002"},{"key":"bibr8-01455613241254685","doi-asserted-by":"publisher","DOI":"10.12890\/2017_000690."},{"issue":"2","key":"bibr9-01455613241254685","first-page":"144","volume":"22","author":"Assante LR","year":"2014","journal-title":"Infez Med"},{"issue":"3","key":"bibr10-01455613241254685","first-page":"112","volume":"63","author":"Efde MN","year":"2005","journal-title":"Neth J Med"},{"key":"bibr11-01455613241254685","doi-asserted-by":"publisher","DOI":"10.3346\/jkms.2022.37.e107"},{"key":"bibr12-01455613241254685","doi-asserted-by":"publisher","DOI":"10.1007\/BF03050797"},{"key":"bibr13-01455613241254685","first-page":"1","volume":"4","author":"Charkaoui A","year":"2010","journal-title":"Pan Afr Med J"},{"key":"bibr14-01455613241254685","doi-asserted-by":"publisher","DOI":"10.5578\/ttj.30509"}],"container-title":["Ear, Nose &amp; Throat Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613241254685","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/01455613241254685","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613241254685","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:35:07Z","timestamp":1777401307000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/01455613241254685"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,17]]},"references-count":14,"alternative-id":["10.1177\/01455613241254685"],"URL":"https:\/\/doi.org\/10.1177\/01455613241254685","relation":{},"ISSN":["0145-5613","1942-7522"],"issn-type":[{"value":"0145-5613","type":"print"},{"value":"1942-7522","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,17]]},"article-number":"01455613241254685"}}