Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
Lupus Nephritis Associated with Bacterial Panperitonitis and Lung Alveolar Hemorrhage
Naohiro YANOMasayuki ENDOHMasanobu MIYAZAKIHaruko NIKIYasuo NOMOTOHideto SAKAI
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JOURNAL FREE ACCESS

1992 Volume 31 Issue 5 Pages 678-681

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Abstract

A 36 year-old woman was admitted to the hospital with the diagnosis of nephrotic syndrome due to lupus nephritis. The patient had panperitonitis caused by Staphylococcus aureus as a complication, and an emergency laparotomy was performed. After the operation, the patient developed a massive lung alveolar hemorrhage. Methylprednisolone pulse therapy showed a marked effect on the lung hemorrhage. It is known that lung alveolar hemorrhages associated with systemic lupus erythematosus have a very high mortality ; the present case is relatively rare because of the good response to steroid pulse therapy.
(Internal Medicine 31 : 678-681, 1992)

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© The Japanese Society of Internal Medicine
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