Isik A, Koca S S
Department of Rheumatology, Faculty of Medicine, Firat University, 23119, Elazig, Turkey.
Clin Rheumatol. 2007 Jun;26(6):999-1001. doi: 10.1007/s10067-006-0234-1. Epub 2006 Mar 7.
Systemic lupus erythematosus (SLE) is a systemic, autoimmune disease. SLE patients are prone to infections, and their hospital admissions and mortality are most commonly associated with infections. Necrotizing fasciitis (NF) is a rare, life-threatening infection of the subcutaneous tissue. In this report, NF associated with Streptococcus pneumoniae (SPN) that developed within hours and resulted in death is presented in a 46-year-old female case who was recently diagnosed as SLE and did not receive any medication (steroid, immunosuppressive, etc.) except for etodolac. This case shows that SLE can generate predisposition to NF, and SPN can play a role in NF etiology.
系统性红斑狼疮(SLE)是一种全身性自身免疫性疾病。SLE患者容易发生感染,其住院和死亡最常见与感染相关。坏死性筋膜炎(NF)是一种罕见的、危及生命的皮下组织感染。在本报告中,呈现了一名46岁女性病例,该患者近期被诊断为SLE,除依托度酸外未接受任何药物治疗(类固醇、免疫抑制剂等),数小时内发生了与肺炎链球菌(SPN)相关的NF并导致死亡。该病例表明SLE可导致NF易感性,且SPN可在NF病因中起作用。