Case Reports in Pediatrics (Jan 2018)

Combined Diagnosis of Systemic Lupus Erythematosus and Tuberculosis in an Irish Adolescent Female

  • Kene Ebuka Maduemem,
  • Comfort O. Adedokun,
  • Adela Vatca

DOI
https://doi.org/10.1155/2018/2031219
Journal volume & issue
Vol. 2018

Abstract

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Systemic lupus erythematosus (SLE) is an autoimmune disease of unknown aetiology, which can affect any organ system. Tuberculosis (TB) is a common infection in SLE because of immune dysregulation associated with the latter. We report a case of an adolescent female who presented with a year’s history of polyarticular arthralgia and fever. Physical examination revealed a large left effusion that needed drainage. Investigations revealed a combined diagnosis of SLE and TB. Management comprised quadruple anti-TB therapy and SLE treatment. She made a steady recovery and has maintained a stable state from the lupus perspective.