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The bm12 Inducible Model of Systemic Lupus Erythematosus (SLE) in C57BL/6 Mice
Published on: November 1, 2015
Infections associated with juvenile systemic lupus erythematosus
S M Al-Mayouf1, S Al-Jumaah, S Bahabri
1Department of Pediatrics, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia. mayouf@kfshrc.edu.sa
Insights
Infections are common in children with Systemic Lupus Erythematosus (SLE), affecting 41% of those studied. While major infections occurred, no deaths were directly attributed to them in this cohort.
Area of Science:
- Pediatric Rheumatology
- Infectious Diseases in Autoimmune Conditions
Background:
- Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease that can affect multiple organ systems.
- Children with SLE are at increased risk of infections due to the disease itself and immunosuppressive therapies.
Purpose of the Study:
- To investigate the incidence and characteristics of infections in a cohort of pediatric patients diagnosed with SLE.
- To identify common types of infections and their severity in children with SLE.
Main Methods:
- Retrospective review of medical records for 70 children diagnosed with SLE between 1990 and 1998.
- Infections were documented and categorized as Class I (minor) or Class II (major).
- Data collected included demographics, clinical features (SLEDAI), treatment, and response to antibiotics.
Main Results:
- A significant proportion of patients, 41% (29 children), experienced infections during the study period.
- Minor infections (Class I) were more prevalent (73%) than major infections (Class II) (27%).
- Bacteremia was the leading cause of major infections (45%), while urinary tract infections were most common among minor infections (38%). No significant risk factors were associated with infection severity.
Conclusions:
- Infection is a frequent complication in pediatric patients with Systemic Lupus Erythematosus.
- Despite the high rate of infections, including serious ones like bacteremia, no fatalities were directly linked to infections in this cohort.
Objective:
To determine the rate and nature of infection in a cohort of children with SLE.
Methods:
Records of 70 children with SLE were reviewed for documentation of infections. All patients with infection seen between 1990 and 1998 were included. Data extracted comprised demographics and clinical features including the disease activity index (SLEDAI), detailed descriptions of therapy, and response to antibiotic therapy. Infections were identified and catagorized as class I (minor) or class II (major).
Results:
A total of 29 patients (41%) had infections; 73% had class I and 27% had class II infections. The most common cause of class II infection was bacteremia (45%), while urinary tract infection was more frequent (38%) in class I infections. There was no association between the severity of infection and various potential risk factors.
Conclusion:
Our data confirm that infection is common among children with SLE. There were no deaths directly related to infection.
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