Cryptococcal granulomatous interstitial nephritis and dissemination in a patient with untreated lupus nephritis.
Infection is a significant cause of mortality and morbidity in systemic lupus erythematosus (SLE). There are many reports of cryptococcal infection in patients with SLE, on immunosuppression. However, untreated lupus with cryptococcal infection and dissemination is rare. CD4 lymphopaenia is not reported in such patients. We describe a patient with untreated SLE to be having cryptococcal granulomatous interstitial nephritis and dissemination with CD4 lymphopaenia.
David
Vinoi George
VG
Department of Nephrology, Christian Medical College, Tamil Nadu, Vellore 632004, India.
Korula
Anila
A
Choudhrie
Lisa
L
Michael
Joy Sarojini
JS
Jacob
Shibu
S
Jacob
Chakko Korula
CK
John
George T
GT
D000328:Adult; D003453:Cryptococcosis / Q000150:complications*; D003455:Cryptococcus neoformans; D006099:Granuloma / Q000209:etiology*; D006801:Humans; D008181:Lupus Nephritis / Q000150:complications*; D008297:Male; D009395:Nephritis, Interstitial / Q000382:microbiology*