Lupus nephritis associated with bacterial panperitonitis and lung alveolar hemorrhage.
A 36-year-old woman was admitted to the hospital with the diagnosis of nephrotic syndrome due to lupus nephritis. The patient had panperitonitis caused by Staphylococcus aureus as a complication, and an emergency laparotomy was performed. After the operation, the patient developed a massive lung alveolar hemorrhage. Methylprednisolone pulse therapy showed a marked effect on the lung hemorrhage. It is known that lung alveolar hemorrhages associated with systemic lupus erythematosus have a very high mortality; the present case is relatively rare because of the good response to steroid pulse therapy.
Yano
N
N
Department of Internal Medicine, School of Medicine, Tokai University, Kanagawa, Japan.
Endoh
M
M
Miyazaki
M
M
Niki
H
H
Nomoto
Y
Y
Sakai
H
H
D000328:Adult; D005260:Female; D006470:Hemorrhage / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D008171:Lung Diseases / Q000150:complications* / Q000188:drug therapy; D008181:Lupus Nephritis / Q000150:complications* / Q000473:pathology; D008775:Methylprednisolone / Q000627:therapeutic use; D010538:Peritonitis / Q000150:complications*; D011650:Pulmonary Alveoli; D013203:Staphylococcal Infections / Q000150:complications*
D008775:Methylprednisolone