Casos Clínicos Infección por Nocardia asteroides en un paciente con lupus eritematoso sistémico

Nocardia asteroides infection are unusually observed in sistemic Lupus erithematous (SLE) patients. They are generally associated to steroidal and immunosuppressive therapy. We report a 24 years old female with SLE diagnosed in 1994 who developed a severe preeclampsia in her first pregnancy requirin...

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Autores principales:	Mc-Nab M,Paul, Fuentealba P,Carlos, Ballesteros J,Francisco, Pacheco R,Daniel, Alvarez C,María, Dabanch,Jeannette, Cona T,Erna
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2000
Materias:	Systemic lupus erythematosus Nocardia asteroides Nocardia infections Staphilococcus aureus infections
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000500011
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spelling	oai:scielo:S0034-988720000005000112004-06-22Casos Clínicos Infección por Nocardia asteroides en un paciente con lupus eritematoso sistémicoMc-Nab M,PaulFuentealba P,CarlosBallesteros J,FranciscoPacheco R,DanielAlvarez C,MaríaDabanch,JeannetteCona T,Erna Systemic lupus erythematosus Nocardia asteroides Nocardia infections Staphilococcus aureus infections Nocardia asteroides infection are unusually observed in sistemic Lupus erithematous (SLE) patients. They are generally associated to steroidal and immunosuppressive therapy. We report a 24 years old female with SLE diagnosed in 1994 who developed a severe preeclampsia in her first pregnancy requiring emergency caesarean section. Post partum acute renal failure and type IV lupus nephropathy were treated with hemodialysis, metilprednisolone, cyclophosphamide and prednisone. Three months later, while she was receving the fourth cyclophosphamide dose, she presented with a pleuro pneumonia and occipital abscess, both caused by Nocardia asteroides. She was treated with cotrimoxazole + cefixime and pleural decortication was required. Five months later, she developed Meningitis caused by Nocardia asteroides and hydrocephalus. She was treated with ceftriaxone, vancomycin, cotrimoxazole and ventricular shunting procedure. Two months later, a retroperitoneal abscess was diagosed and surgically drained but the patient died, due to a methicillin-resistant Staphylococcus aureus septicemia. (Rev Méd Chile 2000; 128: 526-8)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.128 n.5 20002000-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000500011es10.4067/S0034-98872000000500011
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Systemic lupus erythematosus Nocardia asteroides Nocardia infections Staphilococcus aureus infections
spellingShingle	Systemic lupus erythematosus Nocardia asteroides Nocardia infections Staphilococcus aureus infections Mc-Nab M,Paul Fuentealba P,Carlos Ballesteros J,Francisco Pacheco R,Daniel Alvarez C,María Dabanch,Jeannette Cona T,Erna Casos Clínicos Infección por Nocardia asteroides en un paciente con lupus eritematoso sistémico
description	Nocardia asteroides infection are unusually observed in sistemic Lupus erithematous (SLE) patients. They are generally associated to steroidal and immunosuppressive therapy. We report a 24 years old female with SLE diagnosed in 1994 who developed a severe preeclampsia in her first pregnancy requiring emergency caesarean section. Post partum acute renal failure and type IV lupus nephropathy were treated with hemodialysis, metilprednisolone, cyclophosphamide and prednisone. Three months later, while she was receving the fourth cyclophosphamide dose, she presented with a pleuro pneumonia and occipital abscess, both caused by Nocardia asteroides. She was treated with cotrimoxazole + cefixime and pleural decortication was required. Five months later, she developed Meningitis caused by Nocardia asteroides and hydrocephalus. She was treated with ceftriaxone, vancomycin, cotrimoxazole and ventricular shunting procedure. Two months later, a retroperitoneal abscess was diagosed and surgically drained but the patient died, due to a methicillin-resistant Staphylococcus aureus septicemia. (Rev Méd Chile 2000; 128: 526-8)
author	Mc-Nab M,Paul Fuentealba P,Carlos Ballesteros J,Francisco Pacheco R,Daniel Alvarez C,María Dabanch,Jeannette Cona T,Erna
author_facet	Mc-Nab M,Paul Fuentealba P,Carlos Ballesteros J,Francisco Pacheco R,Daniel Alvarez C,María Dabanch,Jeannette Cona T,Erna
author_sort	Mc-Nab M,Paul
title	Casos Clínicos Infección por Nocardia asteroides en un paciente con lupus eritematoso sistémico
title_short	Casos Clínicos Infección por Nocardia asteroides en un paciente con lupus eritematoso sistémico
title_full	Casos Clínicos Infección por Nocardia asteroides en un paciente con lupus eritematoso sistémico
title_fullStr	Casos Clínicos Infección por Nocardia asteroides en un paciente con lupus eritematoso sistémico
title_full_unstemmed	Casos Clínicos Infección por Nocardia asteroides en un paciente con lupus eritematoso sistémico
title_sort	casos clínicos infección por nocardia asteroides en un paciente con lupus eritematoso sistémico
publisher	Sociedad Médica de Santiago
publishDate	2000
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000500011
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Casos Clínicos Infección por Nocardia asteroides en un paciente con lupus eritematoso sistémico

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