Acute Pneumonia and Systemic Lupus Erythematosus (Case Discussion) (Clinical Report)
CASE PRESENTATION MICHELLE V. SUN, MD: On March 29, 2000, a 40-year-old black woman with known systemic lupus erythematosus (SLE) presented to Baylor University Medical Center (BUMC) with fevers to 40[degrees]C (104[degrees]F), yellow to green diarrhea without blood, dyspnea, fatigue, headache, photophobia, cold sores, and a productive cough of 3 days’ duration. She was on chronic prednisone therapy. Five days before admission, she had received her first dose of a course of monthly intravenous cyclophosphamide for type IV lupus nephritis and autoimmune hepatitis. She denied any new rashes, chest pain, or other gastrointestinal or urinary complaints.