Systemic lupus erythematosus (SLE) pneumonitis mimicking swine influenza pneumonia during the swine influenza (H1N1) pandemic.
Identifieur interne : 001050 ( PubMed/Curation ); précédent : 001049; suivant : 001051Systemic lupus erythematosus (SLE) pneumonitis mimicking swine influenza pneumonia during the swine influenza (H1N1) pandemic.
Auteurs : Burke A. Cunha [États-Unis] ; Uzma Syed ; Nardeen MickailSource :
- Heart & lung : the journal of critical care [ 1527-3288 ]
Descripteurs français
- KwdFr :
- Adulte, Antibactériens (usage thérapeutique), Antiviraux (usage thérapeutique), Azithromycine (usage thérapeutique), Ceftriaxone (usage thérapeutique), Diagnostic différentiel, Femelle, Grippe humaine (anatomopathologie), Grippe humaine (diagnostic), Hormones corticosurrénaliennes (usage thérapeutique), Humains, Lupus érythémateux disséminé (), Lupus érythémateux disséminé (anatomopathologie), Lupus érythémateux disséminé (diagnostic), Oséltamivir (usage thérapeutique), Pneumopathie infectieuse (anatomopathologie), Pneumopathie infectieuse (diagnostic), Pneumopathie infectieuse (étiologie), Pneumopathie virale (anatomopathologie), Pneumopathie virale (diagnostic), Sous-type H1N1 du virus de la grippe A.
- MESH :
- anatomopathologie : Grippe humaine, Lupus érythémateux disséminé, Pneumopathie infectieuse, Pneumopathie virale.
- diagnostic : Grippe humaine, Lupus érythémateux disséminé, Pneumopathie infectieuse, Pneumopathie virale.
- usage thérapeutique : Antibactériens, Antiviraux, Azithromycine, Ceftriaxone, Hormones corticosurrénaliennes, Oséltamivir.
- étiologie : Pneumopathie infectieuse.
- Adulte, Diagnostic différentiel, Femelle, Humains, Lupus érythémateux disséminé, Sous-type H1N1 du virus de la grippe A.
English descriptors
- KwdEn :
- Adrenal Cortex Hormones (therapeutic use), Adult, Anti-Bacterial Agents (therapeutic use), Antiviral Agents (therapeutic use), Azithromycin (therapeutic use), Ceftriaxone (therapeutic use), Diagnosis, Differential, Female, Humans, Influenza A Virus, H1N1 Subtype, Influenza, Human (diagnosis), Influenza, Human (pathology), Lupus Erythematosus, Systemic (complications), Lupus Erythematosus, Systemic (diagnosis), Lupus Erythematosus, Systemic (pathology), Oseltamivir (therapeutic use), Pneumonia (diagnosis), Pneumonia (etiology), Pneumonia (pathology), Pneumonia, Viral (diagnosis), Pneumonia, Viral (pathology).
- MESH :
- chemical , therapeutic use : Adrenal Cortex Hormones, Anti-Bacterial Agents, Antiviral Agents, Azithromycin, Ceftriaxone, Oseltamivir.
- complications : Lupus Erythematosus, Systemic.
- diagnosis : Influenza, Human, Lupus Erythematosus, Systemic, Pneumonia, Pneumonia, Viral.
- etiology : Pneumonia.
- pathology : Influenza, Human, Lupus Erythematosus, Systemic, Pneumonia, Pneumonia, Viral.
- Adult, Diagnosis, Differential, Female, Humans, Influenza A Virus, H1N1 Subtype.
Abstract
We present a young woman with a negative medical history who presented with acute systemic lupus erythematosus (SLE) pneumonitis mimicking swine influenza (H1N1) pneumonia. Because this case occurred during the H1N1 pandemic, the initial diagnostic impression was of H1N1 pneumonia.
DOI: 10.1016/j.hrtlng.2010.07.008
PubMed: 21453970
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pubmed:21453970Le document en format XML
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<front><div type="abstract" xml:lang="en">We present a young woman with a negative medical history who presented with acute systemic lupus erythematosus (SLE) pneumonitis mimicking swine influenza (H1N1) pneumonia. Because this case occurred during the H1N1 pandemic, the initial diagnostic impression was of H1N1 pneumonia.</div>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">We present a young woman with a negative medical history who presented with acute systemic lupus erythematosus (SLE) pneumonitis mimicking swine influenza (H1N1) pneumonia. Because this case occurred during the H1N1 pandemic, the initial diagnostic impression was of H1N1 pneumonia.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Although her clinical and laboratory findings were consistent with the diagnosis of H1N1 pneumonia, e.g., fever, sore throat, dry cough, arthralgias, myalgias, thrombocytopenia, relative lymphopenia, and elevated serum transaminases, some findings suggested an alternate diagnosis, e.g., leukopenia, a highly elevated erythrocyte sedimentation rate, highly elevated serum ferritin levels, elevated antinuclear antibody (ANA) levels, and double-stranded (DS) DNA titers. Her chest x-ray showed an accentuation of basilar lung markings, with a small pleural effusion similar to the chest x-ray findings of early H1N1 pneumonia. Initially, her headaches were thought to be related to central nervous system manifestations of H1N1.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">After laboratory test results demonstrated elevated ANA and anti-DS DNA titers, she was diagnosed with acute SLE pneumonitis. The take-home lesson for clinicians is that other infectious diseases, e.g., human parainfluenza virus or Legionnaires' disease, can mimic H1N1 pneumonia during an influenza pandemic. Excluding asthma, congestive heart failure, exacerbations of acute bronchitis, chronic obstructive pulmonary disorder, and pulmonary interstitial disease, noninfectious mimics of H1N1 are extremely rare.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">To the best of our knowledge, this is the first reported case of de novo SLE pneumonitis mimicking H1N1 pneumonia during the swine influenza pandemic.</AbstractText>
<CopyrightInformation>Copyright © 2011 Elsevier Inc. All rights reserved.</CopyrightInformation>
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