KMID : 0388220100170020194
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Journal of the Korean Rheumatism Association 2010 Volume.17 No. 2 p.194 ~ p.199
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A Case of Disseminated Crytococcosis in a Patient with Systemic Lupus Erythematosus
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Jung Hye-Ryun
Choe Jung-Yoon Kwon Hyun-Hee
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Abstract
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Disseminated cryptococcosis mainly occurs in immunocompromised patients. It enters the body through the respiratory tract and spreads to the lungs, skin, liver and lymphoid organs. Among cryptococcosis, cryptococcal meningitis is a relatively frequent manifestation and causes serious morbidity and mortality. It needs urgent diagnosis and initiation of effective antifungal therapy. It is difficult to differentiate cryptococcal meningitis from neuropsychiatric lupus due to similar clinical symptoms, laboratory and cerebrospinal fluid findings. We report a case of disseminated cyrptococcosis in a patient with systemic lupus erythematosus being managed with mycophenolate mofetil, prednisolone and hydroxychloroquine.
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KEYWORD
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Disseminated cryptococcosis, Systemic lupus erythematosus
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