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“当卒中与狼疮被发现时”:系统性红斑狼疮以亚急性脑膜炎形式呈现的独特隐匿表现

'When strikes and lupus is found': a unique covert unveiling of systemic lupus erythematosus presenting as subacute meningitis.

作者信息

Essien Francis, Westbrook Marquise, Wolfley Graey, Patterson Shane, Carrol Matthew

机构信息

Department of Internal Medicine, David Grant USAF Medical Center, Travis AFB, Fairfield, CA, USA.

Department of Internal Medicine, Keesler Medical Center, Keesler Air Force Base, Biloxi, MS, USA.

出版信息

Ther Adv Chronic Dis. 2022 Jul 12;13:20406223221102784. doi: 10.1177/20406223221102784. eCollection 2022.

Abstract

is a rare fungal pathogen that has been associated with immunocompromised individuals. Due to its rare occurrence, clinicians have a low index of suspicion for diagnosis, which can lead to increased morbidity and mortality. We present an 81-year-old fully functional woman with no known predisposing risk factors or previous immunocompromising conditions who was found to have cryptococcal meningitis on cerebrospinal fluid analysis in the setting of newly diagnosed uncontrolled type 2 diabetes and systemic lupus erythematosus (SLE).

摘要

是一种与免疫功能低下个体相关的罕见真菌病原体。由于其罕见性,临床医生对其诊断的怀疑指数较低,这可能导致发病率和死亡率增加。我们报告一名81岁功能完全正常的女性,她没有已知的诱发危险因素或既往免疫功能低下情况,在新诊断为未控制的2型糖尿病和系统性红斑狼疮(SLE)的背景下,脑脊液分析发现患有隐球菌性脑膜炎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1745/9280844/36f780e8182f/10.1177_20406223221102784-fig1.jpg

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