title: [A case of Chlamydia pneumonia and systemic lupus erythematosus (SLE) pleurisy].
abstract: A 40-year-old female was admitted with right chest pain. SLE was absent from her past history, although she complained of polyarthralgia in winter. Atypical pneumonia/pleuritis was suspected by chest X-ray film, showing a nodular shadow in the right lower field and moderate pleural effusion. Chlamydia pneumonia was diagnosed by elevated anti-C. psittsci antibody, while characteristics of pleural fluid revealed serositis accompanied by SLE because of the high titered anti-DNA antibody and the low titered complement. She was cured by clarithromycin and subsequent administration of prednisolone and cyclophosphamide.
authors.affiliation: Department of Internal Medicine, Sawara Hospital.
authors.forename: K
authors.initials: K
authors.lastname: Takaki
authors.forename: H
authors.initials: H
authors.lastname: Tatuo
authors.forename: H
authors.initials: H
authors.lastname: Shin
authors.forename: A
authors.initials: A
authors.lastname: Yamagata
authors.forename: M
authors.initials: M
authors.lastname: Shimoda
authors.forename: K
authors.initials: K
authors.lastname: Okada
authors.forename: Y
authors.initials: Y
authors.lastname: Sawae
mesh_terms: D000328:Adult; D002690:Chlamydia Infections / Q000150:complications*; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D018410:Pneumonia, Bacterial / Q000150:complications* / Q000382:microbiology*