[A case of Chlamydia pneumonia and systemic lupus erythematosus (SLE) pleurisy].
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.
Takaki
K
K
Department of Internal Medicine, Sawara Hospital.
Tatuo
H
H
Shin
H
H
Yamagata
A
A
Shimoda
M
M
Okada
K
K
Sawae
Y
Y
D000328:Adult; D002690:Chlamydia Infections / Q000150:complications*; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D018410:Pneumonia, Bacterial / Q000150:complications* / Q000382:microbiology*