CRYPTOCOCCAL MENINGITIS AND SYSTEMIC LUPUS ERYTHEMATOSUS
Keywords:
cryptococcosis, lupus erythematousus systemic, meningitis, immunosuppressionAbstract
The Systemic Lupus Erythematosus mortality has decreased in the last years for the early diagnosis and rigorous treatment with corticoids and immunosuppressors. These ones lead to an impairment of the immunity, leaving the patient more susceptible to the infectious agents that have, at present, an important role among the death causes in patients with lupus. The authors describe the case of a patient with lupus who died after cryptococcal Meningitis and repeated infections.
Downloads
References
BATISTA, L., SILVA, M.V. Criptococose. In: FOCACCIA, R., VERONESI, R. (Ed.). Tratado de infectologia. São Paulo: Atheneu, 1996. cap.85, p. 112-125.
BOUMPAS, O.T. et ai. Systemic Lupus Erythematosus. Emerging Concepts. Ann Intern Mui, Philadelphia, v. 122, p.940-950, 1995.
COSTALLAT, L.T.L. et ai. Lúpus Eritematoso Sistêmico e infecção no sistema nervoso central: estudo retrospectivo de 350 casos. Rev Bras Reuntatol, Campinas, v.37, p.133-137, 1997.
GAMA, G.G., MOREIRA, C. Lúpus Eritematoso Sistêmico. In: CARVALHO, M.A.P., MOREIRA, C. Relimatologia. 2.ed. Belo Horizonte: Medsi, 2000. cap.23, p.423-447.
GLADMAN, D.D., UROWITZ, M.B. Systemic Lupus Erythematosus: clinical features. In: DIEPPE, P.A., KLIPPEL, J.H. Rheumatology. London : Mosby, 1997. sec7,p.1.1-1.18.
LEVI, G.C. Criptococose. In: AMATO NETO, V., BALDY, J.L.S. (Ed.). Doenças transnlissíveis. 3.ed. São Paulo: Sarvier, 1989. cap. 21, p.233-236.
PISTINER, M. et al. Lupus Erythematosus in the 1980: a survey of 570 patients. Sem Arthritis Rheunl, Philadelphia, v.21, p.55-64, 1991.
SHAKRA M. et al. Mortality studies in Systemic Lupus Erythematosus: results from a single center causes of death. J Rheumatol, Toronton, v.22, n.7, p.1259-1264,1995.
STAMM, A.M. et al. Toxicity ofamphotericin B plus flucytosine in 194 patientes with cryptococcal meningitis. Am J Mecl, Newton, v. 83, p. 23 6-242, 1987.