Adolescent with Abdominal Pain and Altered Mental Status: Are You Confused?

被引：0

作者：

Ng, Lorraine ^{[1
]}

机构：

[1] Childrens Hosp Montefiore, Pediat Emergency Dept, 3315 Rochambeau Ave,2nd Floor, Bronx, NY 10467 USA

来源：

CLINICAL PEDIATRIC EMERGENCY MEDICINE | 2010年 / 11卷 / 04期

关键词：

altered mental status; sepsis; meningitis; pneumococcal infection; renal failure; multi system organ failure; systemiclupuserythematosus;

D O I：

10.1016/j.cpem.2010.09.003

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

The presenting manifestations of systemic lupus erythematosus (SLE) are diverse and can present insidiously over years with nonspecific complaints or acutely with life-threatening symptoms. We report a case of a previously healthy 18-year- old female who presented to the pediatric emergency department with altered mental status, multi-system organ failure, and fulminant sepsis from pneumococcal meningitis. Further work-up of this patient confirmed a new diagnosis of SLE. This case highlights the potential degree of immune dysfunction in patients with SLE by opportunistic agents and common pathogens. A high index of suspicion for SLE in childhood is important as delays in diagnosis can lead to life-threatening complications and long-term sequelae.

引用

页码：293 / 300

页数：8

共 12 条

[1] Initial presentation of childhood-onset systemic lupus erythematosus:: A french multicenter study [J].