A Case of Disseminated Crytococcosis in a Patient with Systemic Lupus Erythematosus.
10.4078/jkra.2010.17.2.194
- Author:
Hye Ryun JUNG
1
;
Hyun Hee KWON
;
Jung Yoon CHOE
Author Information
1. Department of Internal Medicine, School of Medicine, Catholic University of Daegu, Daegu, Korea. heeya0035@cu.ac.kr
- Publication Type:Case Report
- Keywords:
Disseminated cryptococcosis;
Systemic lupus erythematosus
- MeSH:
Cryptococcosis;
Humans;
Hydroxychloroquine;
Immunocompromised Host;
Liver;
Lung;
Lupus Erythematosus, Systemic;
Meningitis, Cryptococcal;
Mycophenolic Acid;
Prednisolone;
Respiratory System;
Skin
- From:The Journal of the Korean Rheumatism Association
2010;17(2):194-199
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Disseminated cryptococcosis mainly occurs in immunocompromised patients. It enters the body through the respiratory tract and spreads to the lungs, skin, liver and lymphoid organs. Among cryptococcosis, cryptococcal meningitis is a relatively frequent manifestation and causes serious morbidity and mortality. It needs urgent diagnosis and initiation of effective antifungal therapy. It is difficult to differentiate cryptococcal meningitis from neuropsychiatric lupus due to similar clinical symptoms, laboratory and cerebrospinal fluid findings. We report a case of disseminated cyrptococcosis in a patient with systemic lupus erythematosus being managed with mycophenolate mofetil, prednisolone and hydroxychloroquine.
