title: A case of acute pericarditis with hemophagocytic syndrome, cytomegalovirus infection and systemic lupus erythematosus.
abstract: Hemophagocytic syndrome, cytomegalovirus infection and systemic lupus erythematosus (SLE) would each be critical diseases separately. Viral infections, autoimmune diseases or malignancies can complicate the Hemophagocytic syndrome. Cytomegalovirus infection is known to be prevalent in immune compromised hosts, and can exacerbate the symptoms of systemic lupus erythematosus. A 25-year-old man presented with fever and acute pericarditis with the hemophagocytic syndrome, cytomegalovirus infection and systemic lupus erythematosus; all developed concurrently at the onset of illness. With treatment, using ganciclovir and glucocorticoid medication the patient improved. Here we report this rare case and review the medical literature.
authors.affiliation: Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, South Korea.
authors.forename: Chang Mo
authors.initials: CM
authors.lastname: Kwon
authors.forename: Yong Wook
authors.initials: YW
authors.lastname: Jung
authors.forename: Dae Young
authors.initials: DY
authors.lastname: Yun
authors.forename: Hyun Do
authors.initials: HD
authors.lastname: Kim
authors.forename: Hee Soon
authors.initials: HS
authors.lastname: Cho
authors.forename: Yeong Hoon
authors.initials: YH
authors.lastname: Hong
authors.forename: Joon Hyuk
authors.initials: JH
authors.lastname: Choi
authors.forename: Choong Ki
authors.initials: CK
authors.lastname: Lee
mesh_terms: D000208:Acute Disease; D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D003586:Cytomegalovirus Infections / Q000150:complications*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D006886:Hydroxychloroquine / Q000627:therapeutic use; D016867:Immunocompromised Host; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D007902:Length of Stay; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D008297:Male; D010493:Pericarditis / Q000150:complications*; D011241:Prednisone / Q000627:therapeutic use; D016896:Treatment Outcome
chemical_list: D000893:Anti-Inflammatory Agents; D007166:Immunosuppressive Agents; D006886:Hydroxychloroquine; D011241:Prednisone