CRYPTOCOCCAL MENINGITIS IN SYSTEMIC LUPUS-ERYTHEMATOSUS

被引:35
作者
ZIMMERMANN, B [1 ]
SPIEGEL, M [1 ]
LALLY, EV [1 ]
机构
[1] BROWN UNIV, SCH MED, DIV RHEUMATOL, PROVIDENCE, RI 02912 USA
关键词
CRYPTOCOCCAL MENINGITIS; SYSTEMIC LUPUS ERYTHEMATOSUS; CENTRAL NERVOUS SYSTEM LUPUS; CRYPTOCOCCOSIS;
D O I
10.1016/0049-0172(92)90044-E
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Two cases of cryptococcal meningitis occurring in patients with systemic lupus erythematosus (SLE) are presented, and 24 additional cases from the literature are reviewed. The insidious onset of this infrequent complication is emphasized. The nonspecific neurological findings associated with this infection are often mistakenly diagnosed as a central nervous system manifestation of SLE. Earlier diagnosis and effective antifungal therapy have improved the prognosis of cryptococcal meningitis in SLE patients in recent years. Strategies for the treatment of patients with this complication are discussed. © 1992.
引用
收藏
页码:18 / 24
页数:7
相关论文
共 31 条
[11]  
GONZALEZAMARO R, 1988, J RHEUMATOL, V15, P1223
[12]   SYSTEMIC LUPUS ERYTHEMATOSUS - REVIEW OF THE LITERATURE AND CLINICAL ANALYSIS OF 138 CASES [J].
HARVEY, AM ;
SHULMAN, LE ;
TUMULTY, PA ;
CONLEY, CL ;
SCHOENRICH, EH .
MEDICINE, 1954, 33 (04) :291-437
[13]   FATAL INFECTIONS IN SYSTEMIC LUPUS-ERYTHEMATOSUS - THE ROLE OF OPPORTUNISTIC ORGANISMS [J].
HELLMANN, DB ;
PETRI, M ;
WHITINGOKEEFE, Q .
MEDICINE, 1987, 66 (05) :341-348
[14]   CRYPTOCOCCAL MENINGITIS IN STEROID-TREATED SYSTEMIC LUPUS-ERYTHEMATOSUS [J].
KHAN, MA ;
SBAR, S .
POSTGRADUATE MEDICAL JOURNAL, 1975, 51 (599) :660-662
[15]   CRYPTOCOCCOSIS IN A RENAL UNIT [J].
KONG, NCT ;
SHAARIAH, W ;
MORAD, Z ;
SULEIMAN, AB ;
WONG, YH .
AUSTRALIAN AND NEW ZEALAND JOURNAL OF MEDICINE, 1990, 20 (05) :645-649
[16]   CRYPTOCOCCAL MENINGITIS AND INTERNAL OPHTHALMOPLEGIA [J].
LESSER, RL ;
SIMON, RM ;
LEON, H ;
SIEGEL, N .
AMERICAN JOURNAL OF OPHTHALMOLOGY, 1979, 87 (05) :682-687
[17]   BINDING OF CRYPTOCOCCUS-NEOFORMANS BY HUMAN CULTURED MACROPHAGES - REQUIREMENTS FOR MULTIPLE COMPLEMENT RECEPTORS AND ACTIN [J].
LEVITZ, SM ;
TABUNI, A .
JOURNAL OF CLINICAL INVESTIGATION, 1991, 87 (02) :528-535
[18]   AMPHOTERICIN-B INDUCED OCULAR TOXICITY IN CRYPTOCOCCAL MENINGITIS [J].
LI, PKT ;
LAI, KN .
BRITISH JOURNAL OF OPHTHALMOLOGY, 1989, 73 (05) :397-398
[19]   PROGRESSIVE MULTIFOCAL LEUKOENCEPHALOPATHY AND CRYPTOCOCCAL MENINGITIS WITH SYSTEMIC LUPUS-ERYTHEMATOSUS AND THYMOMA [J].
MALAS, D ;
WEISS, S .
ANNALS OF NEUROLOGY, 1977, 1 (02) :188-191
[20]  
PARISER SANFORD, 1961, JOUR MOUNT SINAI HOSP, V28, P550