title: Primary aspergillosis of the kidney in systemic lupus erythematosus and positron emission tomography-computed tomography.
abstract: Primary aspergillosis of the kidney is a rare complication of immunosuppression in systemic lupus erythematosus. Symptoms can be insidious and can mimic malignancies, such as lymphomas. Herein, we report a case of a woman with systemic lupus erythematosus with recent history of lymphoma, who presented with a history of prolonged pyrexia without localizing symptoms. Repeat biopsy of the kidneys was crucial in obtaining histological diagnosis, and this was aided by findings on positron emission tomography - computed tomography.
authors.affiliation: Department of Rheumatology and Immunology, Singapore General Hospital, Singapore.|Yong Loo Lin School of Medicine, National University of Singapore, Singapore.|Duke-NUS Graduate Medical School, Singapore.
authors.forename: Warren
authors.initials: W
authors.lastname: Fong
authors.affiliation: Yong Loo Lin School of Medicine, National University of Singapore, Singapore.|Duke-NUS Graduate Medical School, Singapore.|Department of Infectious Disease, Singapore General Hospital, Singapore.
authors.forename: Ying Ying
authors.initials: YY
authors.lastname: Chua
mesh_terms: D001228:Aspergillosis / Q000000981:diagnostic imaging* / Q000276:immunology / Q000382:microbiology / Q000473:pathology; D001706:Biopsy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D007166:Immunosuppressive Agents / Q000009:adverse effects*; D007668:Kidney / Q000000981:diagnostic imaging* / Q000276:immunology / Q000382:microbiology / Q000473:pathology; D008180:Lupus Erythematosus, Systemic / Q000175:diagnosis / Q000188:drug therapy* / Q000276:immunology; D008875:Middle Aged; D009894:Opportunistic Infections / Q000000981:diagnostic imaging* / Q000276:immunology / Q000382:microbiology / Q000473:pathology; D000072078:Positron Emission Tomography Computed Tomography; D011237:Predictive Value of Tests; D014552:Urinary Tract Infections / Q000000981:diagnostic imaging* / Q000276:immunology / Q000382:microbiology / Q000473:pathology
chemical_list: D007166:Immunosuppressive Agents
keywords: fungal; positron emission tomography - computed tomography; systemic lupus erythematosus