Mucormycosis complications in systemic lupus erythematosus.
This case involved a 75-year-old woman with systemic lupus erythematosus. Two months previously, she had a flare that was treated successfully by increasing the dosages of prednisone and azathioprine. A sudden onset of ocular pain, diplopia, and loss of vision suggestive of optical neuritis or vascular involvement confused the issue, and rhinocerebral zygomycosis was demonstrated later. We review the presentations of this fungal infection in patients with systemic lupus erythematosus with emphasis on its initial features.
Arce-Salinas
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CA
Division of Internal Medicine, Hospital Central Sur de PEMEX, Mexico City, Mexico. caarces@pemex.gob.mx
Pérez-Silva
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E
D000368:Aged; D001379:Azathioprine / Q000627:therapeutic use; D020314:Central Nervous System Fungal Infections / Q000209:etiology* / Q000473:pathology; D005260:Female; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000188:drug therapy; D009091:Mucormycosis / Q000209:etiology* / Q000469:parasitology; D011241:Prednisone / Q000627:therapeutic use
D007166:Immunosuppressive Agents; D001379:Azathioprine; D011241:Prednisone