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Tytuł pozycji:

Pulmonary mucormycosis in systemic lupus erythematosus: successful management of a case along with review of literature.

Tytuł:
Pulmonary mucormycosis in systemic lupus erythematosus: successful management of a case along with review of literature.
Autorzy:
Kharbanda R; Departments of Clinical Immunology and Rheumatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Mehndiratta A; Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Chatterjee R; Departments of Clinical Immunology and Rheumatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Marak RSK; Department of Microbiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Aggarwal A; Departments of Clinical Immunology and Rheumatology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India. .
Źródło:
Clinical rheumatology [Clin Rheumatol] 2022 Jan; Vol. 41 (1), pp. 307-312. Date of Electronic Publication: 2021 Oct 04.
Typ publikacji:
Case Reports; Journal Article; Review
Język:
English
Imprint Name(s):
Publication: <2008->: Heidelberg : Springer
Original Publication: Brussels : Acta Medica Belgica, [1982-
MeSH Terms:
Lupus Erythematosus, Systemic*/complications
Lupus Erythematosus, Systemic*/drug therapy
Lupus Nephritis*
Mucormycosis*/complications
Mucormycosis*/diagnosis
Mucormycosis*/drug therapy
Adult ; Cyclophosphamide ; Female ; Humans ; Methylprednisolone/therapeutic use ; Young Adult
References:
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Contributed Indexing:
Keywords: Amphotericin B; Mucormycosis; Systemic lupus erythematosus
Substance Nomenclature:
8N3DW7272P (Cyclophosphamide)
X4W7ZR7023 (Methylprednisolone)
Entry Date(s):
Date Created: 20211004 Date Completed: 20220105 Latest Revision: 20220727
Update Code:
20240105
PubMed Central ID:
PMC8488537
DOI:
10.1007/s10067-021-05941-y
PMID:
34606036
Czasopismo naukowe
Pulmonary mucormycosis is rare in systemic lupus erythematosus. A 20-year-old lady with lupus nephritis and neuropsychiatric lupus was treated with injection methylprednisolone and cyclophosphamide. After few days, she developed fever, breathlessness, and hoarseness of voice. After neck and chest imaging, possibility of mucormycosis was considered which was later confirmed on microbiological test. Patient was treated with conventional amphotericin B. Literature review was done, and 8 patients with disseminated or pulmonary mucormycosis were identified with SLE. In patients with high index of suspicion, early imaging can help in diagnosis and early and aggressive management even with conventional amphotericin B can result in favorable outcome. Key Points • Pulmonary mucormycosis in systemic lupus erythematosus is rare. • Radiological investigation can guide towards diagnosis. • Early and aggressive treatment can lead to good outcome.
(© 2021. International League of Associations for Rheumatology (ILAR).)

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