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Leflunomide-Associated Wound Complication After Cochlear Implantation: A Case Report.

Vikas MunjalRobert J MacielakVivian F KaulEdward E DodsonYin Ren
Published in: The Annals of otology, rhinology, and laryngology (2024)
We conducted a retrospective chart review and review of the literature.Results:We present the case of an 81-year-old male who experienced wound dehiscence and infection secondary to leflunomide use for treatment of rheumatoid arthritis. Resolution of these issues was noted with a therapeutic drug holiday, and the patient has subsequently undergone re-implantation without issue.Conclusions:The case highlights a potential CI-associated wound complication in the setting of DMARD therapy. Given the increasing prevalence of both CIs and immunosuppressive therapy, future study on the potential for interaction is warranted to identify the best management strategy in the perioperative setting.
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