RT Journal Article SR Electronic T1 Double malignancy and a mycobacterial infection in a rheumatoid arthritis patient JF Saudi Medical Journal JO Saudi Med J FD Prince Sultan Military Medical City SP 1062 OP 1065 DO 10.15537/smj.2022.43.9.20220563 VO 43 IS 9 A1 Huda AlFaris A1 Sarah A. Alkathiri A1 Doha Babelli A1 Fahdah Alokaily YR 2022 UL http://smj.org.sa/content/43/9/1062.abstract AB Rheumatoid arthritis is a common autoimmune disease. Malignancy is a serious complication of rheumatoid arthritis and its treatment. In this article, we discuss a 61-year-old woman who is a known case of Rheumatoid arthritis and secondary Sjögren’s syndrome treated with disease-modifying anti-rheumatoid drugs and multiple lines of biological therapies. She was found to have recto-sigmoid cancer, disseminated tuberculosis infection, and acute lymphoid leukemia at different intervals of treatment. Therefore, it is advisable to initiate appropriate screening programs that target high-risk people for malignancy.