Systemic lupus erythematosus and melioidosis - PubMed


Mohd Jazman Che Rahim 1 ,

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Systemic lupus erythematosus and melioidosis

Mohd Jazman Che Rahim et al. BMJ Case Rep. .

Abstract

We reported a case of a young female patient presented with sepsis and diagnosed with melioidosis and systemic lupus erythematosus (SLE) within the same admission. She presented with 1-week history of productive cough, progressive dyspnoea together with prolonged fever, arthralgia, rashes and oral ulcers. She had septicemic shock, respiratory failure requiring intubation and ventilation in intensive care unit and subsequently developed acute renal failure requiring haemodialysis. Antibiotics and immunosuppressive treatment including low-dose intravenous cyclophosphamide were commenced. She had a remarkable recovery and was discharged after 6 weeks. There was no evidence of active SLE or relapse of melioidosis during clinic follow-ups.

Keywords: Immunology; rheumatology; systemic lupus erythematosus; tropical medicine (infectious disease).

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Conflict of interest statement

Competing interests: None declared.

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