The development of pulmonary aspergillosis and pneumothorax in a patient with neutropenic systemic lupus erythematosus and successful treatment of the first case
Küçük Resim Yok
Tarih
2014
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
BMJ Publishing Group
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
There are reports on patients with systemic lupus erythematosus (SLE) with aspergillosis; however, aspergillosis-related pneumothorax has not been reported in SLE. We present a female patient with active SLE who was administered high-dose steroids, developed an opportunistic bacterial infection and had a cavitary pulmonary lesion. Sputum cultures yielded Aspergillus fumigatus. She was administered voriconazole. She developed dyspnoea and chest X-ray showed pneumothorax. She was placed with an underwater drainage chest tube; the pneumothorax and the pulmonary lesion regressed. Copyright 2014 BMJ Publishing Group. All rights reserved.
Açıklama
Anahtar Kelimeler
Antinuclear Antibody; Azathioprine; C Reactive Protein; Fluconazole; Hydroxychloroquine; Immunoglobulin A; Immunoglobulin E; Methylprednisolone; Nystatin; Piperacillin Plus Tazobactam; Prednisolone; Voriconazole; Adult; Arthritis; Article; Aspergillus Fumigatus; Bacterial Pneumonia; Blood Culture; Case Report; Computer Assisted Tomography; Disease Association; Dose Response; Drug Dose Increase; Drug Dose Reduction; Drug Withdrawal; Dyspnea; Esophagoscopy; Esophagus Candidiasis; Esophagus Ulcer; Female; Fever; Follow Up; Hip Osteoarthritis; Human; Laboratory Diagnosis; Leukopenia; Lung Aspergillosis; Methicillin Resistant Staphylococcus Aureus; Mouth Examination; Neutropenia; Physical Examination; Pneumomediastinum; Pneumothorax; Polyarthritis; Priority Journal; Sputum Culture; Systemic Lupus Erythematosus; Thorax Drainage; Thorax Radiography; Treatment Outcome; Young Adult
Kaynak
BMJ Case Reports
WoS Q Değeri
Scopus Q Değeri
Q3
