Remicade delayed reaction?

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Regular Member

Date Joined Sep 2005
Total Posts : 83
   Posted 8/30/2007 7:11 PM (GMT -7)   
I have not been on in a while, I had a great year with little or no flaring, but things changed this summer. 
I am dealing with a Recto-vaginal fistula that can not be located.  We decided to go the route of Remi to see if it might help.  I was on Remi several years ago, but got no relief ( I had a stricture), so we discontinued it and had surgery instead.
Anyway I had my first infusion on Aug.17, no problems with infusion.  On this past Monday I woke with unbearable joint pain all over the body, fever, sore throat.  It was the first day back for our school dist. teachers so I had lots of work to do sad .
I lasted for a couple of hours, went home and found my fever to be 102 and pain getting worse, went to doc. he said I had infection going on and almost said the "hospital" word.
As of today I am feeling less sore, still low grade temp. I am on Cipro, and back on pred.  Needless to say no Remi tomorrow. We will wait to see how healing goes.
Anyone with similar reaction, or such a delayed reaction confused
Thanks for your help, you are all so wonderful tongue

Forum Moderator

Date Joined Nov 2003
Total Posts : 7122
   Posted 8/30/2007 9:17 PM (GMT -7)   
Two things come to mind. First, perhaps you picked up a bug somewhere that caused your fever. A fever alone can cause joint and muscle pain. My second thought is along your lines of thinking - that you had a reaction to Remicade. Serum sickness is a problem that can occur with Remicade. It is a reaction to the foreign protein in the Remicade. Fever, joint pain and a host of other symptoms accompany serum sickness. There is good, general info on serum sickness here:
Moderator Crohn's Disease Forum
CD, Ankylosing Spondylitis, small fiber peripheral neuropathy, avascular necrosis, diffuse connective tissue disease, Sjogren's Syndrome ?

Veteran Member

Date Joined Nov 2005
Total Posts : 722
   Posted 8/31/2007 7:20 AM (GMT -7)   

Hi Anne-

I have horrible joint pain and headahce and chill for a few days after remi. I take benydryl those days to help alleviate the symptoms a bit.

Maybe you have an abscess? Maybe that's why you have a fever. I know that my remi was delayed in May because I had an abscess. The Drs. said it could get worse and make me very sick. I did end up getting an abscess anyway after my 2nd infusion.....Oh,well.

Feel better soon and keep us posted. :-)


36 year old female. Dx'd and undx'd a few times. Was just redx'd again 04/2007.
History of rectal abscesses and fistulas (28 surgeries including abscess I & D, exploratory surgeries, 2 C-ton drains and 1 fistula plug) Count does not include self bursting abscesses.
1st Remicade infusion 6/5/07.  Lots of joint pain, and a new fistula since the 2nd infusion 6/19.
Praying I'll get better soon so we can have a baby.
Ginger :)

Veteran Member

Date Joined Mar 2007
Total Posts : 4527
   Posted 9/1/2007 6:35 AM (GMT -7)   
Hi Some aches may happen my pharmasist said for me to take tyneol and not the other stuff like Ibproph. for it I do have some periods of pain that do not last more then a day or so and then I am fine. I might have taken tyneol about 3 times out of 4 IV's. Hope your feeling better I did not get the sore throat thing .I did have good results healing my abdominal fistula and is still healed.That was a huge relief to me getting that healed it was aroud my third IV that it healed. I first noticed it would bleed and soon was healed hoping the best for the healing of your fistula. lol gail
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