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Hong CG, Florida E, Li H, Parel PM, Mehta NN, Sorokin AV

Vaccines Before commencing immunomodulators and biologic therapy, all patients should: be screened for latent infections, including hepatitis B, hepatitis C, HIV infection and tuberculosis have their immunity to vaccine-preventable infections confirmed, particularly infections that require live vaccines, as these may be contraindicated in patients receiving immunosuppressant therapy

Infectious myocarditis Infections that damage the heart (ie, infectious myocarditis) have been associated with some types of arrhythmia (Friedman 1994