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一例伴有并发症的重症肺结核合并新诊断系统性红斑狼疮的病例报告

A case report of massive pulmonary tuberculosis and newly diagnosed systemic lupus erythematosus with complications.

作者信息

Vasilj Marina, Zovko Tanja, Galic Kristina, Goluza Sesar Marija, Pejanovic Skobic Natasa, Pavlovic Katica

机构信息

Department of Lung Diseases and Tuberculosis University Clinical Hospital Mostar Mostar Bosnia and Herzegovina.

Faculty of Medicine University of Mostar Mostar Bosnia and Herzegovina.

出版信息

Clin Case Rep. 2024 Sep 4;12(9):e9407. doi: 10.1002/ccr3.9407. eCollection 2024 Sep.

DOI:10.1002/ccr3.9407
PMID:39238507
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11375285/
Abstract

The diagnosis of extensive pulmonary tuberculosis, especially in young people, should take into account the possibility of an associated systemic autoimmune disease. Infections remain an important cause of morbidity and mortalityin systemic lupus erythematosus. This case illustrates the importance of recognizing the association of systemic autoimmune diseases and infections and the need for a multidisciplinary approach.

摘要

广泛型肺结核的诊断，尤其是在年轻人中，应考虑到合并全身性自身免疫性疾病的可能性。感染仍是系统性红斑狼疮发病和死亡的重要原因。本病例说明了认识全身性自身免疫性疾病与感染之间关联的重要性以及采取多学科方法的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b8b/11375285/4404fd269099/CCR3-12-e9407-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b8b/11375285/c60db4dac5eb/CCR3-12-e9407-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b8b/11375285/4710ce04f68b/CCR3-12-e9407-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b8b/11375285/87f12f46b32d/CCR3-12-e9407-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b8b/11375285/a7df6b433e0b/CCR3-12-e9407-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b8b/11375285/c1cdbcbef2c2/CCR3-12-e9407-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b8b/11375285/67bedca419bb/CCR3-12-e9407-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b8b/11375285/d3ca62b53aaa/CCR3-12-e9407-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b8b/11375285/4404fd269099/CCR3-12-e9407-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b8b/11375285/c60db4dac5eb/CCR3-12-e9407-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b8b/11375285/4710ce04f68b/CCR3-12-e9407-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b8b/11375285/87f12f46b32d/CCR3-12-e9407-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b8b/11375285/a7df6b433e0b/CCR3-12-e9407-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b8b/11375285/c1cdbcbef2c2/CCR3-12-e9407-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b8b/11375285/67bedca419bb/CCR3-12-e9407-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b8b/11375285/d3ca62b53aaa/CCR3-12-e9407-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b8b/11375285/4404fd269099/CCR3-12-e9407-g002.jpg

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本文引用的文献

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Ann Rheum Dis. 2024 Oct 21;83(11):1489-1501. doi: 10.1136/ard-2023-225319.
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Impact of severe infections in SLE: an observational study from the Spanish national registry.严重感染对系统性红斑狼疮的影响：来自西班牙国家登记处的观察性研究。
Lupus Sci Med. 2022 Oct;9(1). doi: 10.1136/lupus-2022-000711.
3
The role of IGRA in the diagnosis of tuberculosis infection, differentiating from active tuberculosis, and decision making for initiating treatment or preventive therapy of tuberculosis infection.
IGRA在结核病感染诊断、与活动性结核病鉴别以及对结核病感染启动治疗或预防性治疗的决策中的作用。
Int J Infect Dis. 2022 Nov;124 Suppl 1:S12-S19. doi: 10.1016/j.ijid.2022.02.047. Epub 2022 Mar 5.
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The interplay between tuberculosis and systemic lupus erythematosus.结核分枝杆菌感染与系统性红斑狼疮的相互作用。
Curr Opin Rheumatol. 2018 Jul;30(4):395-402. doi: 10.1097/BOR.0000000000000493.
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Risk of serious infections with immunosuppressive drugs and glucocorticoids for lupus nephritis: a systematic review and network meta-analysis.免疫抑制药物和糖皮质激素治疗狼疮性肾炎时发生严重感染的风险：一项系统评价和网状Meta分析
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Curr Opin Rheumatol. 2011 Jul;23(4):358-65. doi: 10.1097/BOR.0b013e3283476cd8.
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Systemic lupus erythematosus and tuberculosis: a review of complex interactions of complicated diseases.系统性红斑狼疮与结核病：复杂疾病的复杂相互作用综述
J Postgrad Med. 2010 Jul-Sep;56(3):244-50. doi: 10.4103/0022-3859.68653.
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Can lupus flares be associated with tuberculosis infection?狼疮发作是否与结核感染有关？
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