Tuberculous Meningitis in a Patient with Systemic Lupus Erythematosus

被引:0
作者
Kilic, Omer [1 ]
Camcioglu, Yildiz [1 ]
Tuten, Abdulhamid [2 ]
Cokugras, Haluk [1 ]
Kasapcopur, Ozgur [3 ]
Hasiloglu, Zehra Isik [4 ]
Akcakaya, Necla [1 ]
机构
[1] Istanbul Univ, Cerrahpasa Tip Fak, Enfeksiyon Hastaliklari & Klin Immunol Alerji Bil, Istanbul, Turkey
[2] Istanbul Univ, Cerrahpasa Tip Fak, Cocuk Sagligi & Hastaliklari Anabilim Dali, Istanbul, Turkey
[3] Istanbul Univ, Cerrahpasa Tip Fak, Cocuk Romatol Bilim Dali, Istanbul, Turkey
[4] Istanbul Univ, Cerrahpasa Tip Fak, Radyol Anabilim Dali, Istanbul, Turkey
来源
JOURNAL OF PEDIATRIC INFECTION | 2013年 / 7卷 / 03期
关键词
Systemic lupus erythematosus; immunosuppression; vasculitis; tuberculous meningitis;
D O I
10.5152/ced.2013.30
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Systemic lupus erythematosus (SLE) is a chronic inflammatory autoimmune disease of unknown etiology that affects various organs. In patients with SLE, infections are the most important causes of morbidity and mortality. Their risk factors for infection include immune system irregularities due to SLE and immunosuppressive/cytotoxic therapy. Infection is frequent and the unusual spectrum of organisms is thought to be related to the combined effect of immune system anomalies and immunosuppressive therapy. This case is presented to remind us that tuberculous meningitis should be included in the differential diagnosis of central nervous system pathologies in patients diagnosed with SLE.
引用
收藏
页码:106 / 109
页数:4
相关论文
共 18 条
[1]  
Maddison P.J., Is it SLE? Best Pract Res Clin Rheumatol, 16, pp. 167-180, (2002)
[2]  
Cervera R., Khamashta M.A., Font J., Et al., European working party on systemic lupus erythematosus. Morbidity and mortality in systemic lupus erythematosus during a 10-year period: A comparison of early and late manifestations in a cohort of 1000 patients, Medicine, 82, pp. 299-308, (2003)
[3]  
Teh C., Ling G., Causes and predictors of mortality in hospitalized lupus patient in Sarawak General Hospital, Malaysia, Lupus, 22, pp. 106-111, (2013)
[4]  
Kang I., Park S.H., Infectious complications in SLE after immunosuppressive therapies, Curr Opin Rheumatol, 15, pp. 528-534, (2003)
[5]  
Vargas P.J., King G., Navarra S.V., Central nervous system infections in Filipino patients with systemic lupus erythematosus, Int J Rheum Dis, 12, pp. 234-238, (2009)
[6]  
Zhang L., Wang D.X., Ma L., A clinical study of tuberculosis infection in systemic lupus erythematosus, Zhonghua Nei Ke Za Zhi, 47, pp. 808-810, (2008)
[7]  
Sayarlioglu M., Inanc M., Kamali S., Et al., Tuberculosis in Turkish patients with systemic lupus erythematosus: Increased frequency of extrapulmonary localization, Lupus, 13, pp. 274-278, (2004)
[8]  
Arenas M.M.D., Hidalgo T.C., Jimenez A.J., Tuberculosis in patients with systemic lupus erythematosus: Spain's situation, Reumatol Clin, (2012)
[9]  
Zandman-Goddard G., Shoenfeld Y., Infections and SLE, Autoimmunity, 38, pp. 473-485, (2005)
[10]  
Alarcon G.S., Infections in systemic connective tissue diseases: Systemic lupus erythematosus, scleroderma, and polymyositis/dermatomyositis, Infect Dis Clin N Am, 20, pp. 849-875, (2006)