El-Herte Rima I, Haidar Rachid K, Uthman Imad W, Kanj Souha S
Department of Internal Medicine, Division of Infectious Diseases, American University of Beirut Medical Center, Beirut, Lebanon.
J Med Liban. 2011 Oct-Dec;59(4):235-7.
An 18-year-old female presented with a ten days history of high grade fever, chills and pain of the left sacroiliac joint. The patient has systemic lupus erythematosus (SLE) and is on chronic immunosuppressive therapy (steroids, antimalarial and antimetabolites). Imaging of the left sacroiliac joint revealed inflammation. Blood cultures and an aspirate of a small gluteal abscess that she developed later grew Salmonella enteritidis resistant to nalidixic acid. The patient was treated conservatively with eight weeks of IV ceftriaxone and is currently asymptomatic. First case of SLE with this complication to be reported from Lebanon and treated conservatively, this communication deserved publishing together with a literature review.
一名18岁女性，有10天高热、寒战及左骶髂关节疼痛病史。该患者患有系统性红斑狼疮（SLE），正在接受慢性免疫抑制治疗（类固醇、抗疟药和抗代谢药）。左骶髂关节影像学检查显示有炎症。血培养以及她后来出现的一个小臀肌脓肿的抽吸物培养出对萘啶酸耐药的肠炎沙门氏菌。患者接受了8周静脉注射头孢曲松的保守治疗，目前无症状。这是黎巴嫩报道的首例伴有该并发症的SLE病例且采用保守治疗，这一病例报告值得结合文献综述一起发表。
