A 68-year-old woman with long-standing rheumatoid arthritis is on methotrexate 20 mg weekly and folic acid. She presents with fever, cough and shortne...

Question

A 68-year-old woman with long-standing rheumatoid arthritis is on methotrexate 20 mg weekly and folic acid. She presents with fever, cough and shortness of breath. Chest X-ray shows right lower lobe consolidation. What is the most appropriate management regarding methotrexate?

Accepted Answer

Cease methotrexate temporarily while treating infection

Answer

Continue methotrexate and treat pneumonia

Answer

Increase methotrexate dose to suppress inflammation

Answer

Stop methotrexate permanently

Answer

Switch to biologic therapy immediately

au-amc MCQ (SBA): Methotrexate and infection

A 68-year-old woman with long-standing rheumatoid arthritis is on methotrexate 20 mg weekly and folic acid. She presents with fever, cough and shortness of breath. Chest X-ray shows right lower lobe consolidation. What is the most appropriate management regarding methotrexate?