Abstract

CANAS, Carlos A.; BONILLA-ABADIA, Fabio; POSSO-OSORIO, Iván  and  TOBON, Gabriel J.. Salmonella enteritidis infection in patients with systemic lupus erythematosus. Rev.Colomb.Reumatol. [online]. 2018, vol.25, n.2, pp.132-135. ISSN 0121-8123.  https://doi.org/10.1016/j.rcreu.2017.05.002.

Salmonella enteritidis infection (SEI) is rare in systemic lupus erythematosus (SLE) patients, and it is often mistaken with SLE flares. SEI in SLE patients has been associated with a poor outcome. A description is presented of the clinical features and outcomes of five patients with an SEI from a cohort of 325 patients with SLE (1.53%). All patients were women, with a mean age of 28.2 years (14 to 37 years). Mean duration of SLE before clinical SEI was 3.2 years (1 to 7 years). There was no evidence of recurrent infection. The patients were treated with ciprofloxacin and/or ceftriaxone, with resolution of clinical manifestations in four of them. One patient died due to multisystem organ failure. Our report highlights the unspecific clinical manifestations of SEI that resembles lupus flare-up. An accurate diagnosis and early antibiotic treatment are essential to improve their outcomes.

Keywords : Salmonella enteritidis; Systemic lupus erythematosus; Immunosuppressive treatments; Antibiotic treatment.

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