Pseudomonas bacteremia as an initial presentation of SLE.

IDCases

Mount Sinai Beth Israel, Milton and Carroll Petrie Division, First Avenue at 16th Street, Baird Hall, 17th Floor, New York, NY 10003, United States.

Published: February 2016

Infections have been commonly implicated in lupus relapses and in some cases as initiating the diagnostic work up of systemic lupus erythematosus (SLE). We describe here the case of a young patient who presented with Pseudomonas aeruginosa bacteremia and was found to have a new diagnosis of SLE. 53% of patients with active SLE and abdominal pain have intestinal vasculitis. These vasculitic changes can cause intestinal ischemia with consequent translocation of pathogens from the gastrointestinal tract to the bloodstream causing sepsis.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4735035PMC
http://dx.doi.org/10.1016/j.idcr.2014.09.001DOI Listing

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