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Case Report 


An unusual neurological presentation: systemic lupus erythematosus mimicking central nervous system infection

Barnali Das, Rekha Khaund Borkotoky, Amrit Lal Saha, Geetanjali Sahariah Khound, Puja Banerjee Barua, Siba Prosad Paul.

Abstract
Systemic lupus erythematosus (SLE) is an autoimmune multisystem disease. Childhoodonset SLE is extremely rare and comprises only 10% to 20% of all cases. In this case report, we present a 9-year-old boy from northeastern India who presented with fever, cough, vague abdominal pain, lethargy and swelling of face and legs. Initial impression was one of sepsis with central nervous system (CNS) involvement and was treated accordingly. Detailed clinical examination with subsequent laboratory and imaging studies clinched the diagnosis of SLE. The patient showed rapid resolution of symptoms with immunoglobulins, cyclophosphamide and steroid therapy. A brief discussion on childhood neuropsychiatric lupus syndrome and SLE with CNS infections is included here.

Key words: Systemic lupus erythematosus; Children; Neurological manifestations; Neuropsychiatric systemic lupus erythematosus; Sepsis; Resource-limited settings.


 
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How to Cite this Article
Pubmed Style

Das B, Borkotoky RK, Saha AL, Khound GS, Barua PB, Paul SP. An unusual neurological presentation: systemic lupus erythematosus mimicking central nervous system infection. Sudan J Paed. 2020; 20(2): 170-175. doi:10.24911/SJP.106-1565526532


Web Style

Das B, Borkotoky RK, Saha AL, Khound GS, Barua PB, Paul SP. An unusual neurological presentation: systemic lupus erythematosus mimicking central nervous system infection. http://www.sudanjp.com/?mno=61047 [Access: August 13, 2020]. doi:10.24911/SJP.106-1565526532


AMA (American Medical Association) Style

Das B, Borkotoky RK, Saha AL, Khound GS, Barua PB, Paul SP. An unusual neurological presentation: systemic lupus erythematosus mimicking central nervous system infection. Sudan J Paed. 2020; 20(2): 170-175. doi:10.24911/SJP.106-1565526532



Vancouver/ICMJE Style

Das B, Borkotoky RK, Saha AL, Khound GS, Barua PB, Paul SP. An unusual neurological presentation: systemic lupus erythematosus mimicking central nervous system infection. Sudan J Paed. (2020), [cited August 13, 2020]; 20(2): 170-175. doi:10.24911/SJP.106-1565526532



Harvard Style

Das, B., Borkotoky, . R. K., Saha, . A. L., Khound, . G. S., Barua, . P. B. & Paul, . S. P. (2020) An unusual neurological presentation: systemic lupus erythematosus mimicking central nervous system infection. Sudan J Paed, 20 (2), 170-175. doi:10.24911/SJP.106-1565526532



Turabian Style

Das, Barnali, Rekha Khaund Borkotoky, Amrit Lal Saha, Geetanjali Sahariah Khound, Puja Banerjee Barua, and Siba Prosad Paul. 2020. An unusual neurological presentation: systemic lupus erythematosus mimicking central nervous system infection. Sudanese Journal of Paediatrics, 20 (2), 170-175. doi:10.24911/SJP.106-1565526532



Chicago Style

Das, Barnali, Rekha Khaund Borkotoky, Amrit Lal Saha, Geetanjali Sahariah Khound, Puja Banerjee Barua, and Siba Prosad Paul. "An unusual neurological presentation: systemic lupus erythematosus mimicking central nervous system infection." Sudanese Journal of Paediatrics 20 (2020), 170-175. doi:10.24911/SJP.106-1565526532



MLA (The Modern Language Association) Style

Das, Barnali, Rekha Khaund Borkotoky, Amrit Lal Saha, Geetanjali Sahariah Khound, Puja Banerjee Barua, and Siba Prosad Paul. "An unusual neurological presentation: systemic lupus erythematosus mimicking central nervous system infection." Sudanese Journal of Paediatrics 20.2 (2020), 170-175. Print. doi:10.24911/SJP.106-1565526532



APA (American Psychological Association) Style

Das, B., Borkotoky, . R. K., Saha, . A. L., Khound, . G. S., Barua, . P. B. & Paul, . S. P. (2020) An unusual neurological presentation: systemic lupus erythematosus mimicking central nervous system infection. Sudanese Journal of Paediatrics, 20 (2), 170-175. doi:10.24911/SJP.106-1565526532





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