Catastrophic Antiphospholipid Syndrome Triggered by Fulminant Chikungunya Infection in a Patient with Systemic Lupus Erythematosus

The patient, a 21-year-old woman, was admitted to the intensive care unit with a 4-day history of fever, arthritis of the hands and feet, oli- guria with anasarca, diarrhea, and widespread skin rash. Systemic lupus erythematosus had been diagnosed 5 years previously. She was positive for lupus antic...

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Autores:
Betancur, Juan Felipe
Tobón García, Gabriel Jaime
Suso, Juan Pablo
Echeverry, Alex
Vélez, Juan Diego
Bravo Bonilla, José Humberto
Navarro, Erika Paola
Cañas Dávila, Carlos Alberto
Cortés, Armando Daniel
Tipo de recurso:
Revisión
Fecha de publicación:
2016
Institución:
Universidad ICESI
Repositorio:
Repositorio ICESI
Idioma:
eng
OAI Identifier:
oai:repository.icesi.edu.co:10906/81681
Acceso en línea:
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84962109861&doi=10.1002%2fart.39580&partnerID=40&md5=8e29208d03802a9744bdf1a5405a8f93
http://hdl.handle.net/10906/81681
http://dx.doi.org/10.1002/art.39580
Palabra clave:
Medical sciences
Antiphospholipid syndrome
systemic lupus erythematosus
Ciencias socio biomédicas
Rights
License
http://purl.org/coar/access_right/c_14cb
Description
Summary:The patient, a 21-year-old woman, was admitted to the intensive care unit with a 4-day history of fever, arthritis of the hands and feet, oli- guria with anasarca, diarrhea, and widespread skin rash. Systemic lupus erythematosus had been diagnosed 5 years previously. She was positive for lupus anticoagulant and anticardiolipin antibody but had no history of thrombotic or obstetric manifestations. Laboratory tests for infection and immunologic or biochemical abnormalities were performed and, based on multiple abnormal findings, treatment with broad-spectrum antibiotics was instituted.

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