Rare complicated parapneumonic effusion, Mycoplasma pneumoniae with new-onset lupus flare: Case report and literature review.
Identifieur interne : 000141 ( PubMed/Corpus ); précédent : 000140; suivant : 000142Rare complicated parapneumonic effusion, Mycoplasma pneumoniae with new-onset lupus flare: Case report and literature review.
Auteurs : Bharat Bajantri ; Shaik Danial ; Richard Duncalf ; Misbahuddin KhajaSource :
- Respiratory medicine case reports [ 2213-0071 ] ; 2017.
Abstract
Mycoplasma pneumoniae has been associated with respiratory tract infections. Mycoplasma pneumoniae pneumonia-related pleural effusion is rarely reported. Extra-pulmonary abnormalities such as encephalitis, myocarditis, glomerulonephritis, and myringitis have been reported. However pulmonary manifestations in systemic lupus erythematosus include pneumonitis, pleurisy, interstitial lung disease, and thromboembolic disease. We present the case of a 26-year-old male who came for evaluation of fever, cough, and shortness of breath with right-sided chest pain. He was found to have right-side loculated complicated parapneumonic effusion and underwent drainage with a pleural catheter followed by fibrinolytic therapy. He was then found to have new-onset systemic lupus erythematosus concomitant with Mycoplasma pneumonia, leading to lupus flare and lupus nephritis. He responded well to levofloxacin, steroids, hydroxychloroquine, and mycophenolate, with complete resolution of loculated pleural effusion and symptom improvement. Our case describes the rare combination of Mycoplasma pneumoniae pneumonia, parapneumonic pleural effusion, and lupus flare with lupus nephritis. Early identification and treatment can lead to better out come in young patients.
DOI: 10.1016/j.rmcr.2017.10.010
PubMed: 29124008
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Rare complicated parapneumonic effusion, <i>Mycoplasma pneumoniae</i> with new-onset lupus flare: Case report and literature review.</title><author><name sortKey="Bajantri, Bharat" sort="Bajantri, Bharat" uniqKey="Bajantri B" first="Bharat" last="Bajantri">Bharat Bajantri</name><affiliation><nlm:affiliation>Division of Pulmonary and Critical Care Medicine, Bronx Lebanon Hospital Center, Affiliated with Icahn School of Medicine at Mount Sinai, 1650 Grand Concourse, Bronx, NY 10457, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Danial, Shaik" sort="Danial, Shaik" uniqKey="Danial S" first="Shaik" last="Danial">Shaik Danial</name><affiliation><nlm:affiliation>Department of Medicine, Bronx Lebanon Hospital Center, Affiliated with Icahn School of Medicine at Mount Sinai, 1650 Grand Concourse, Bronx, NY 10457, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Duncalf, Richard" sort="Duncalf, Richard" uniqKey="Duncalf R" first="Richard" last="Duncalf">Richard Duncalf</name><affiliation><nlm:affiliation>Division of Pulmonary and Critical Care Medicine, Bronx Lebanon Hospital Center, Affiliated with Icahn School of Medicine at Mount Sinai, 1650 Grand Concourse, Bronx, NY 10457, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Khaja, Misbahuddin" sort="Khaja, Misbahuddin" uniqKey="Khaja M" first="Misbahuddin" last="Khaja">Misbahuddin Khaja</name><affiliation><nlm:affiliation>Division of Pulmonary and Critical Care Medicine, Bronx Lebanon Hospital Center, Affiliated with Icahn School of Medicine at Mount Sinai, 1650 Grand Concourse, Bronx, NY 10457, USA.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:29124008</idno><idno type="pmid">29124008</idno><idno type="doi">10.1016/j.rmcr.2017.10.010</idno><idno type="wicri:Area/PubMed/Corpus">000141</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000141</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Rare complicated parapneumonic effusion, <i>Mycoplasma pneumoniae</i> with new-onset lupus flare: Case report and literature review.</title><author><name sortKey="Bajantri, Bharat" sort="Bajantri, Bharat" uniqKey="Bajantri B" first="Bharat" last="Bajantri">Bharat Bajantri</name><affiliation><nlm:affiliation>Division of Pulmonary and Critical Care Medicine, Bronx Lebanon Hospital Center, Affiliated with Icahn School of Medicine at Mount Sinai, 1650 Grand Concourse, Bronx, NY 10457, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Danial, Shaik" sort="Danial, Shaik" uniqKey="Danial S" first="Shaik" last="Danial">Shaik Danial</name><affiliation><nlm:affiliation>Department of Medicine, Bronx Lebanon Hospital Center, Affiliated with Icahn School of Medicine at Mount Sinai, 1650 Grand Concourse, Bronx, NY 10457, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Duncalf, Richard" sort="Duncalf, Richard" uniqKey="Duncalf R" first="Richard" last="Duncalf">Richard Duncalf</name><affiliation><nlm:affiliation>Division of Pulmonary and Critical Care Medicine, Bronx Lebanon Hospital Center, Affiliated with Icahn School of Medicine at Mount Sinai, 1650 Grand Concourse, Bronx, NY 10457, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Khaja, Misbahuddin" sort="Khaja, Misbahuddin" uniqKey="Khaja M" first="Misbahuddin" last="Khaja">Misbahuddin Khaja</name><affiliation><nlm:affiliation>Division of Pulmonary and Critical Care Medicine, Bronx Lebanon Hospital Center, Affiliated with Icahn School of Medicine at Mount Sinai, 1650 Grand Concourse, Bronx, NY 10457, USA.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Respiratory medicine case reports</title><idno type="ISSN">2213-0071</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><i>Mycoplasma pneumoniae</i> has been associated with respiratory tract infections. <i>Mycoplasma pneumoniae</i> pneumonia-related pleural effusion is rarely reported. Extra-pulmonary abnormalities such as encephalitis, myocarditis, glomerulonephritis, and myringitis have been reported. However pulmonary manifestations in systemic lupus erythematosus include pneumonitis, pleurisy, interstitial lung disease, and thromboembolic disease. We present the case of a 26-year-old male who came for evaluation of fever, cough, and shortness of breath with right-sided chest pain. He was found to have right-side loculated complicated parapneumonic effusion and underwent drainage with a pleural catheter followed by fibrinolytic therapy. He was then found to have new-onset systemic lupus erythematosus concomitant with Mycoplasma pneumonia, leading to lupus flare and lupus nephritis. He responded well to levofloxacin, steroids, hydroxychloroquine, and mycophenolate, with complete resolution of loculated pleural effusion and symptom improvement. Our case describes the rare combination of <i>Mycoplasma pneumoniae</i> pneumonia, parapneumonic pleural effusion, and lupus flare with lupus nephritis. Early identification and treatment can lead to better out come in young patients.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">29124008</PMID><DateRevised><Year>2019</Year><Month>11</Month><Day>20</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">2213-0071</ISSN><JournalIssue CitedMedium="Print"><Volume>22</Volume><PubDate><Year>2017</Year></PubDate></JournalIssue><Title>Respiratory medicine case reports</Title><ISOAbbreviation>Respir Med Case Rep</ISOAbbreviation></Journal><ArticleTitle>Rare complicated parapneumonic effusion, <i>Mycoplasma pneumoniae</i> with new-onset lupus flare: Case report and literature review.</ArticleTitle><Pagination><MedlinePgn>287-291</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.rmcr.2017.10.010</ELocationID><Abstract><AbstractText><i>Mycoplasma pneumoniae</i> has been associated with respiratory tract infections. <i>Mycoplasma pneumoniae</i> pneumonia-related pleural effusion is rarely reported. Extra-pulmonary abnormalities such as encephalitis, myocarditis, glomerulonephritis, and myringitis have been reported. However pulmonary manifestations in systemic lupus erythematosus include pneumonitis, pleurisy, interstitial lung disease, and thromboembolic disease. We present the case of a 26-year-old male who came for evaluation of fever, cough, and shortness of breath with right-sided chest pain. He was found to have right-side loculated complicated parapneumonic effusion and underwent drainage with a pleural catheter followed by fibrinolytic therapy. He was then found to have new-onset systemic lupus erythematosus concomitant with Mycoplasma pneumonia, leading to lupus flare and lupus nephritis. He responded well to levofloxacin, steroids, hydroxychloroquine, and mycophenolate, with complete resolution of loculated pleural effusion and symptom improvement. Our case describes the rare combination of <i>Mycoplasma pneumoniae</i> pneumonia, parapneumonic pleural effusion, and lupus flare with lupus nephritis. Early identification and treatment can lead to better out come in young patients.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bajantri</LastName><ForeName>Bharat</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Division of Pulmonary and Critical Care Medicine, Bronx Lebanon Hospital Center, Affiliated with Icahn School of Medicine at Mount Sinai, 1650 Grand Concourse, Bronx, NY 10457, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Danial</LastName><ForeName>Shaik</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Medicine, Bronx Lebanon Hospital Center, Affiliated with Icahn School of Medicine at Mount Sinai, 1650 Grand Concourse, Bronx, NY 10457, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Duncalf</LastName><ForeName>Richard</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Division of Pulmonary and Critical Care Medicine, Bronx Lebanon Hospital Center, Affiliated with Icahn School of Medicine at Mount Sinai, 1650 Grand Concourse, Bronx, NY 10457, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Khaja</LastName><ForeName>Misbahuddin</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Division of Pulmonary and Critical Care Medicine, Bronx Lebanon Hospital Center, Affiliated with Icahn School of Medicine at Mount Sinai, 1650 Grand Concourse, Bronx, NY 10457, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>10</Month><Day>28</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Respir Med Case Rep</MedlineTA><NlmUniqueID>101604463</NlmUniqueID><ISSNLinking>2213-0071</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Lupus flare</Keyword><Keyword MajorTopicYN="N">Mycoplasma pneumoniae</Keyword><Keyword MajorTopicYN="N">Parapneumonic effusion</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>09</Month><Day>25</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2017</Year><Month>10</Month><Day>26</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>10</Month><Day>27</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>11</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>11</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>11</Month><Day>11</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">29124008</ArticleId><ArticleId IdType="doi">10.1016/j.rmcr.2017.10.010</ArticleId><ArticleId IdType="pii">S2213-0071(17)30313-1</ArticleId><ArticleId IdType="pmc">PMC5671404</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Rev Soc Bras Med Trop. 2001 May-Jun;34(3):243-7</Citation><ArticleIdList><ArticleId IdType="pubmed">11460209</ArticleId></ArticleIdList></Reference><Reference><Citation>Clin Infect Dis. 2006 Nov 15;43(10):1239-45</Citation><ArticleIdList><ArticleId IdType="pubmed">17051486</ArticleId></ArticleIdList></Reference><Reference><Citation>Med Clin North Am. 2011 Nov;95(6):1055-70</Citation><ArticleIdList><ArticleId IdType="pubmed">22032427</ArticleId></ArticleIdList></Reference><Reference><Citation>N Engl J Med. 2011 Aug 11;365(6):518-26</Citation><ArticleIdList><ArticleId IdType="pubmed">21830966</ArticleId></ArticleIdList></Reference><Reference><Citation>Ann Rheum Dis. 2008 Feb;67(2):195-205</Citation><ArticleIdList><ArticleId IdType="pubmed">17504841</ArticleId></ArticleIdList></Reference><Reference><Citation>BMC Infect Dis. 2006 Feb 01;6:18</Citation><ArticleIdList><ArticleId IdType="pubmed">16451727</ArticleId></ArticleIdList></Reference><Reference><Citation>Orv Hetil. 2016 Jul;157(29):1154-60</Citation><ArticleIdList><ArticleId IdType="pubmed">27426464</ArticleId></ArticleIdList></Reference><Reference><Citation>Curr Opin Infect Dis. 2001 Apr;14(2):181-6</Citation><ArticleIdList><ArticleId IdType="pubmed">11979130</ArticleId></ArticleIdList></Reference><Reference><Citation>Respiration. 1996;63(5):261-6</Citation><ArticleIdList><ArticleId IdType="pubmed">8884996</ArticleId></ArticleIdList></Reference><Reference><Citation>Pediatr Infect Dis J. 2004 Nov;23(11):1069; 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