RESUMO
Exacerbations of systemic lupus erythematosus (SLE) may be brought about by a number of factors, including stress, surgery, or infection. By interacting with immunologic mediators or by producing immune complexes, infections may exacerbate underlying autoimmune diseases such as SLE. This illustrative case report describes a woman who had SLE for 20 years who contracted cytomegalovirus mononucleosis that induced an exacerbation of her SLE.
Assuntos
Infecções por Citomegalovirus/complicações , Mononucleose Infecciosa/complicações , Lúpus Eritematoso Sistêmico/microbiologia , Feminino , Humanos , Mononucleose Infecciosa/microbiologia , Lúpus Eritematoso Sistêmico/imunologia , Pessoa de Meia-IdadeRESUMO
Escherichia coli septic arthritis is rare and usually occurs in patients with underlying systemic disorders. Most commonly the hip joint is involved and the E. coli septic arthritis is caused by an intraabdominal source (e.g., an abscess communicating with the hip joint). We report the first case of E. coli septic arthritis involving the shoulder joint in a diabetic patient.
Assuntos
Artrite Infecciosa/etiologia , Complicações do Diabetes , Infecções por Escherichia coli/etiologia , Articulação do Ombro , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Although most patients with multiple myeloma are predisposed to pneumococcal infections, such infections usually involve the respiratory tract or the meninges. Pneumococcal arthritis is rare in the general population and is unexpectedly even rarer in patients with myeloma. We believe this to be the first case of pneumococcal septic arthritis of the knee in a patient with myeloma.