Cytomegalovirus-induced interstitial pneumonitis in a patient with systemic lupus erythematosus

被引：23
|
作者：
Tokunaga, Y [1 ]
Takenaka, K [1 ]
Asayama, R [1 ]
Shibuya, T [1 ]
机构：
[1] HAMANOMACHI GEN HOSP,DEPT INTERNAL MED,CHUO KU,FUKUOKA 810,JAPAN
来源：
INTERNAL MEDICINE | 1996年 / 35卷 / 06期
关键词：
systemic lupus erythematosus; interstitial pneumonitis; cytomegalovirus;
D O I：
10.2169/internalmedicine.35.517
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
We report an unusual case of cytomegalovirus (CMV) interstitial pneumonitis (IP) occurring in a 51-year-old Japanese woman with systemic lupus erythematosus (SLE). She developed hypoxemia after intensive immunosuppressive therapy with prednisolone and cyclophosphamide, Fine crackles were audible in the lower lungs bilaterally, Chest X-ray and computed tomography confirmed the presence of IP. CMV-antigenemia was confirmed by immunological staining of leukocytes using the peroxidase-labeled monoclonal antibody, HRP-C7. Hypoxemia improved gradually on methylprednisolone pulse therapy and gancyclovir, and CMV-antigen positive leukocytes disappeared from the peripheral blood, Data suggest the importance of CMV as a cause of IP in SLE, and the usefulness of the assay for CMV-antigenemia with C7-HRP for rapid diagnosis.
引用
收藏
页码：517 / 520
页数：4
相关论文
共 50 条
  • [31] Cytomegalovirus retinitis in a seronegative patient with systemic lupus erythematosus on immunosuppressive therapy
    Kelkar A.
    Kelkar J.
    Kelkar S.
    Bhirud S.
    Biswas J.
    Journal of Ophthalmic Inflammation and Infection, 2011, 1 (3) : 129 - 132
  • [32] Cytomegalovirus reactivation exacerbated thrombocytopenia and haemolysis in a patient with systemic lupus erythematosus
    Sugimoto, Toshiro
    Aoyama, Masahiro
    Takeda, Naoko
    Sakaguchi, Masayoshi
    Nishio, Yoshihiko
    Uzu, Takashi
    Kashiwagi, Atsunori
    RHEUMATOLOGY INTERNATIONAL, 2007, 28 (01) : 91 - 93
  • [33] Cytomegalovirus-Induced Hepatitis in an Immunocompetent Patient
    Gupta, Prashant
    Suryadevara, Madhu
    Das, Avash
    AMERICAN JOURNAL OF CASE REPORTS, 2014, 15 : 447 - 449
  • [34] Cytomegalovirus-induced myeloradiculopathy in an immunocompetent patient
    Weynants, Laurens
    Nys, Eline
    De Bleecker, Jan L.
    ACTA NEUROLOGICA BELGICA, 2015, 115 (03) : 493 - 495
  • [35] COEXISTING PNEUMOCYSTIS-CARINII PNEUMONIA, CYTOMEGALOVIRUS PNEUMONITIS AND SALMONELLOSIS IN SYSTEMIC LUPUS-ERYTHEMATOSUS
    LEONG, KH
    BOEY, ML
    FENG, PH
    ANNALS OF THE RHEUMATIC DISEASES, 1991, 50 (11) : 811 - 812
  • [36] Cavitary Lung Nodules Caused by HSV Pneumonitis in a Patient with Systemic Lupus Erythematosus
    Gordon, J.
    Cohen, S. P.
    Fussner, L. A.
    AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2021, 203 (09)
  • [37] Acute Herpes Simplex Virus 1 Pneumonitis in a Patient With Systemic Lupus Erythematosus
    Sabugo, Francisca
    Espinoza-Araya, Ricardo
    Meneses, Manuel F.
    Cuchacovich, Miguel
    JCR-JOURNAL OF CLINICAL RHEUMATOLOGY, 2014, 20 (01) : 42 - 44
  • [38] Fulminant lupus pneumonitis complicating systemic lupus erythematosus in the elderly
    Helali, Wiem
    El Euch, Mounira
    Sassi, Cyrine
    Kefi, Asma
    Ben Hamida, Fethi
    Ben Abdelghani, Khaoula
    Turki, Sami
    Abderrahim, Ezzedine
    CLINICAL CASE REPORTS, 2023, 11 (02):
  • [39] Acute lupus pneumonitis as the initial presentation of systemic lupus erythematosus
    Cantero, Chloe
    Vongthilath, Rechana
    Plojoux, Jerome
    BMJ CASE REPORTS, 2020, 13 (07)
  • [40] Obstructive uropathy due to interstitial cystitis in a patient with systemic lupus erythematosus
    Kim, HJ
    Park, MH
    CLINICAL NEPHROLOGY, 1996, 45 (03) : 205 - 208
12345