The development of pulmonary aspergillosis and pneumothorax in a patient with neutropenic systemic lupus erythematosus and successful treatment of the first case. (21st May 2014)

• Record Type: Journal Article
• Authors: Pamuk, Omer Nuri; Pamuk, Gulsum Emel; Barutcu, Ebru; Dogan Celik, Aygul
• Is Part Of: BMJ case reports. Volume 2014
• Publication Date: 2014-05-21
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2013-200818
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : There are reports on patients with systemic lupus erythematosus (SLE) with aspergillosis; however, aspergillosis-related pneumothorax has not been reported in SLE. We present a female patient with active SLE who was administered high-dose steroids, developed an opportunistic bacterial infection and had a cavitary pulmonary lesion. Sputum cultures yielded Aspergillus fumigatus . She was administered voriconazole. She developed dyspnoea and chest X-ray showed pneumothorax. She was placed with an underwater drainage chest tube; the pneumothorax and the pulmonary lesion regressed.