A case of elderly-onset systemic lupus erythematosus presenting as acute renal failure due to disseminated intravascular coagulation

2005 ◽  
Vol 64 (10) ◽  
pp. 295-299 ◽  
Author(s):  
M. Iyoda ◽  
K. Matsumoto ◽  
T. Hato ◽  
A. Kuroki ◽  
T. Shibata ◽  
...  
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Renal Failure ◽  
Acute Renal Failure ◽  
Disseminated Intravascular Coagulation ◽  
Lupus Erythematosus ◽  
Systemic Lupus ◽  
Intravascular Coagulation ◽  
Elderly Onset ◽  
Onset Systemic Lupus Erythematosus

scholarly journals Nocardia Sepsis in a Multigravida with Systemic Lupus Erythematosus and Autoimmune Hepatitis

2007 ◽  
Vol 35 (4) ◽  
pp. 601-604 ◽  
Author(s):  
C. L. Cassar
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Intensive Care Unit ◽  
Renal Failure ◽  
Acute Renal Failure ◽  
Intensive Care ◽  
Autoimmune Hepatitis ◽  
Lupus Erythematosus ◽  
Intrauterine Death ◽  
Cardiovascular Collapse ◽  
Systemic Lupus

This report describes a pregnant woman with systemic lupus erythematosus and autoimmune hepatitis who presented with threatened labour and acute renal failure. She developed respiratory distress, haematemesis and became coagulopathic. Intrauterine death occurred and she was admitted to the intensive care unit after caesarean section. She suffered sudden cardiovascular collapse and succumbed. At autopsy, Nocardia was cultured from multiple renal abscesses. The co-existence of Nocardia sepsis, systemic lupus erythematosus, autoimmune hepatitis and pregnancy are discussed. This case illustrates diagnostic challenges associated with Nocardia infection in the presence of co-existing disease.

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