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The bm12 Inducible Model of Systemic Lupus Erythematosus (SLE) in C57BL/6 Mice
Published on: November 1, 2015
[Cryptococcal meningitis and systemic lupus erythematosus: a case report and review]
1Servicio de Medicina Interna, Hospital Dr. Domingo Luciani, Caracas, Venezuela. mjtristano@cantv.net
Abstract:
Cryptococcal meningitis is an uncommon but well-known and frequently fatal complication of systemic lupus erythematosus (SLE). The clinical manifestations are unspecific and frequently are confused with lupus activity. A patient with cryptococcal meningitis and SLE, who responded well to amphotericin deoxycholate therapy, is reported. In a review through MEDLINE of the Spanish and English literature, 57 cases of SLE and cryptococcal meningitis were found. Simultaneous presentation of both diseases has been reported in only three cases. This temporal coexistence suggests that specific underlying immune defects associated with SLE directly predisposes to mycotic infections.
Insights
Cryptococcal meningitis is a rare but serious complication in patients with systemic lupus erythematosus (SLE). Early recognition and treatment are crucial for better outcomes in these complex cases.
Area of Science:
- Infectious Diseases
- Rheumatology
- Neuroscience
Background:
- Systemic lupus erythematosus (SLE) is an autoimmune disease.
- Cryptococcal meningitis is a fungal infection of the central nervous system.
Observation:
- Cryptococcal meningitis is an uncommon but fatal complication of SLE.
- Clinical signs of cryptococcal meningitis can mimic SLE activity, complicating diagnosis.
- A case of cryptococcal meningitis in an SLE patient successfully treated with amphotericin deoxycholate is presented.
Findings:
- A literature review identified 57 cases of SLE with cryptococcal meningitis.
- Simultaneous onset of both conditions was rare, occurring in only three reported cases.
- The temporal association suggests SLE-related immune dysfunction predisposes to fungal infections.
Implications:
- This association highlights the need for heightened vigilance for opportunistic infections in SLE patients.
- Understanding immune defects in SLE may offer insights into preventing mycotic infections.
- Prompt diagnosis and treatment of cryptococcal meningitis are vital for improving survival rates in SLE patients.
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