Rare zoonosis (hemotrophic mycoplasma infection) in a newly diagnosed systemic lupus erythematosus patient followed by a Nocardia asteroides pneumonia

Bosnic, Dubravka; Baresic, Marko; Anic, Branimir; Sentic, Mirna; Cerovec, Mislav; Mayer, Miroslav; Cikes, Nada

doi:10.1016/S1413-8670(10)70019-2

The Brazilian Journal of Infectious Diseases

ISSN: 1413-8670

The Brazilian Journal of Infectious Diseases is the official publication of the Brazilian Society of Infectious Diseases (SBI). It aims to publish relevant articles in the broadest sense on all aspects of microbiology, infectious diseases and immune response to infectious agents.
The BJID is a bimonthly publication and one of the most influential journals in its field in Brazil and Latin America with a high impact factor. Since its inception it has garnered a growing share of the publishing market.

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Systemic lupus erythematosus (SLE) is per se a disease characterized by suppressed immune response and thus susceptibility to various opportunistic infections. We describe the case of a 21-yearold woman who developed a rare zoonosis - hemotrophic mycoplasma infection in the initial stage of SLE, complicated with Nocardia asteroides pneumonia afterwards. Nocardia infection coincided with initiation of glucocorticoids and cyclophosphamide therapy for SLE. After the treatment she recovered completely. To our knowledge the only case of human hemoplasmosis (then referred to as eperythrozoonosis) in medical literature was the one described by a group of Croatian authors 22 years ago. No cases of a hemotrophic mycoplasma infection in a SLE patient have been published up to now.

Keywords:

SLE

zoonosis

hemotrophic mycoplasma (hemoplasma)

eperythrozoon

Nocardia asteroides

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References

[1.]

A. Kraus.

Fever in systemic lupus erythematosus.

2nd ed., pp. 8.1-8.24

[2.]

D.T. Boumpas, B.J. Fessler, H.A. Austin 3rd, J.E. Balow, J.H. Klippel, M.D. Lockshin.

Systemic lupus erythematosus: emerging concepts. Part 2: Dermatologic and joint disease, the antiphospholipid antibody syndrome, pregnancy and hormonal therapy, morbidity and mortality, and pathogenesis.

Ann Intern Med, 123 (1995 Jul 1), pp. 42-53

Medline

[3.]

M. Mohty.

Systemic lupus erythematosus.

N Engl J Med, 358 (2008), pp. 2412-2413

Medline

[4.]

J. Nossent, N. Cikes, E. Kiss, et al.

Current causes of death in systemic lupus erythematosus in Europe, 2000-2004. Relation to disease activity and accrued damage.

Lupus, 16 (2007), pp. 309-317

http://dx.doi.org/10.1177/0961203307077987 | Medline