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dc.creatorMc-Nab M,Paul
dc.creatorFuentealba P,Carlos
dc.creatorBallesteros J,Francisco
dc.creatorPacheco R,Daniel
dc.creatorAlvarez C,María
dc.creatorDabanch,Jeannette
dc.creatorCona T,Erna
dc.date2000-05-01
dc.date.accessioned2019-05-02T21:10:49Z
dc.date.available2019-05-02T21:10:49Z
dc.identifierhttps://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0034-98872000000500011
dc.identifier.urihttp://revistaschilenas.uchile.cl/handle/2250/81120
dc.descriptionNocardia 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)
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dc.publisherSociedad Médica de Santiago
dc.relation10.4067/S0034-98872000000500011
dc.rightsinfo:eu-repo/semantics/openAccess
dc.sourceRevista médica de Chile v.128 n.5 2000
dc.subjectSystemic lupus erythematosus
dc.subjectNocardia asteroides
dc.subjectNocardia infections
dc.subjectStaphilococcus aureus infections
dc.titleCasos Clínicos Infección por Nocardia asteroides en un paciente con lupus eritematoso sistémico


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