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10.1097/MD.0000000000010595 http://scihub22266oqcxt.onion/10.1097/MD.0000000000010595 C5959410!5959410 !29742693     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=29742693 &cmd=llinks): Failed to open stream: HTTP request failed! 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A successful treatment of severe systemic lupus erythematosus caused by occult pulmonary infection-associated with hemophagocytic syndrome: A case report |pdf=|usr=}}{{29742693 }} gab.com Text A successful treatment of severe systemic lupus erythematosus caused by occult pulmonary infection-associated with hemophagocytic syndrome: A case report JO: Medicine (Baltimore) http://www.kidney.de/pget.php?&tw=1&pmid=29742693 #FOAvip RATIONALE: A 27-year-old woman with a history of systemic lupus erythaematosus (SLE) developed hemophagocytic syndrome (HPS) secondary due to an unrecognized infection that led to severe SLE with a prolonged recovery. PATIENT CONCERNS: The patient showed a high spiking fever and myalgia. Laboratory data revealed pancytopenia and immunological abnormalities. Pulse methylprednisone plus intravenous immunoglobulin (IVIG) failed to improve the clinical symptoms and laboratory data. DIAGNOSES: As activated macrophages with hemophagocytosis were confirmed in bone marrow histology, the patient was diagnosed as having reactive HPS. INTERVENTIONS AND OUTCOMES: Her reactive HPS was successfully treated with intravenous antibiotics and was followed by oral prednisolone and hydroxychloroquine maintenance therapy. LESSONS: In severe SLE, patients with persistent high fever, cytopenia, and elevated levels of serum ferritin and liver enzymes should be strongly suspected of reactive HPS, and aggressive examination, such as bone marrow biopsy, needs to be considered for early diagnosis and proper treatment. Twit Text FOAVip A successful treatment of severe systemic lupus erythematosus caused by occult pulmonary infection-associated with hemophagocytic syndrome: A case report ????Medicine (Baltimore) http://www.kidney.de/pget.php?&tw=1&pmid=29742693 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=29742693 #FOAvip English Wikipedia <ref>{{Cite pmid|29742693 }}</ref> A successful treatment of severe systemic lupus erythematosus caused by occult pulmonary infection-associated with hemophagocytic syndrome: A case report #MMPMID29742693 Shi W ; Duan M ; Jie L ; Sun W Medicine (Baltimore) 2018[May]; 97 (19 ): e0595 PMID29742693 show ga RATIONALE: A 27-year-old woman with a history of systemic lupus erythaematosus (SLE) developed hemophagocytic syndrome (HPS) secondary due to an unrecognized infection that led to severe SLE with a prolonged recovery. PATIENT CONCERNS: The patient showed a high spiking fever and myalgia. Laboratory data revealed pancytopenia and immunological abnormalities. Pulse methylprednisone plus intravenous immunoglobulin (IVIG) failed to improve the clinical symptoms and laboratory data. DIAGNOSES: As activated macrophages with hemophagocytosis were confirmed in bone marrow histology, the patient was diagnosed as having reactive HPS. INTERVENTIONS AND OUTCOMES: Her reactive HPS was successfully treated with intravenous antibiotics and was followed by oral prednisolone and hydroxychloroquine maintenance therapy. LESSONS: In severe SLE, patients with persistent high fever, cytopenia, and elevated levels of serum ferritin and liver enzymes should be strongly suspected of reactive HPS, and aggressive examination, such as bone marrow biopsy, needs to be considered for early diagnosis and proper treatment. |*Lupus Erythematosus, Systemic/complications/diagnosis/drug therapy [MESH] |*Lymphohistiocytosis, Hemophagocytic/diagnosis/drug therapy/etiology/immunology [MESH] |*Pneumonia/complications/diagnosis/drug therapy/immunology [MESH] |Adult [MESH] |Anti-Bacterial Agents/administration & dosage [MESH] |Antirheumatic Agents/administration & dosage [MESH] |Blood Cell Count/methods [MESH] |Bone Marrow Examination/methods [MESH] |Cilastatin/*administration & dosage [MESH] |Female [MESH] |Humans [MESH] |Hydroxychloroquine/*administration & dosage [MESH] |Imipenem/*administration & dosage [MESH] |Lung/*diagnostic imaging [MESH] |Prednisolone/*administration & dosage [MESH] |Tomography, X-Ray Computed/methods [MESH]A successful treatment of severe systemic lupus erythematosus caused b(epmc).pdf DeepDyve Pubget Overpricing