[Acute cytomegalovirus infection revealing systemic lupus erythematosus].
Systemic lupus erythematosus (SLE) remains of unknown origin. Herpes viridae infections seem to play a role in the pathogenesis of this disease. We report a 31-year-old man who presented an acute cytomegalovirus (CMV) infection with persistent fever and myopericarditis as the presenting manifestation of SLE. This case report emphasizes a difficult differential diagnosis between SLE and an acute CMV infection and suggests a possible role of this virus in the pathogenesis of SLE.
Hachfi
W
W
Laboratoire de recherche en pathologie infectieuse, université Diderot-Paris 7 site Bichat, 16 rue Henri-Huchard, Paris, France. hachfi_wissem@hotmail.com
Laurichesse
J-J
JJ
Chauveheid
M-P
MP
Houhou
N
N
Bonnet
D
D
Longuet
P
P
Leport
C
C
D000208:Acute Disease; D000328:Adult; D000962:Antimalarials / Q000627:therapeutic use; D018501:Antirheumatic Agents / Q000627:therapeutic use; D003587:Cytomegalovirus / Q000302:isolation & purification / Q000472:pathogenicity; D003586:Cytomegalovirus Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D005334:Fever / Q000821:virology; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000175:diagnosis* / Q000188:drug therapy / Q000821:virology*; D008297:Male; D009205:Myocarditis / Q000821:virology; D010493:Pericarditis / Q000821:virology; D016896:Treatment Outcome
D000962:Antimalarials; D018501:Antirheumatic Agents; D005938:Glucocorticoids