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  • Title: A patient with a Mycobacterium avium complex infection complicated by systemic lupus erythematosus.
    Author: Takada K, Suzuki K, Kataharada K, Okada M, Nakashima M, Nakanishi T, Ohsuzu F, Yoshiyama T.
    Journal: J Infect Chemother; 2004 Feb; 10(1):49-52. PubMed ID: 14991519.
    Abstract:
    A 41-year-old woman was admitted to our hospital because of fever and polyarthralgia. A diagnosis of systemic lupus erythematosus (SLE) was made based on the findings of polyarthritis, leukocytopenia, lymphocytopenia, proteinuria, and positive reactions for antinuclear antibody (ANA) and anti-double strand (ds)DNA antibody. She had also been suffering from a pulmonary Mycobacterium avium complex (MAC) infection with such symptoms as cough and sputum for the past 3 years. Antimicrobial drugs for MAC infection were administered first, and later she was given cyclophosphamide pulse therapy, consisting of methylprednisolone (8 mg/day) and mizoribine (100 mg/day). Owing to these therapeutic regimens, SLE was successfully treated without an exacerbation of the MAC infection. The risk factors for MAC infection and SLE are also discussed.
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