Abstract
We report a 39-year-old female patient with systemic lupus erythematosus under immunosuppressive therapy who developed persistent neutrophilic meningitis, for which no infectious agent could be identified. Intensifying the immunosuppressive therapy induced a short amelioration of the clinical picture. At autopsy, basal meningitis was found to be due to Aspergillus sp.
MeSH terms
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Adult
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Aspergillosis / diagnosis*
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Aspergillosis / pathology
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Aspergillus / ultrastructure
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Brain / pathology
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Cerebral Infarction / diagnosis
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Cerebral Infarction / pathology
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Diagnosis, Differential
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Female
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Humans
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Lupus Erythematosus, Systemic / diagnosis*
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Lupus Erythematosus, Systemic / pathology
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Magnetic Resonance Imaging
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Meningitis, Fungal / diagnosis*
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Meningitis, Fungal / pathology
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Neurologic Examination
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Opportunistic Infections / diagnosis*
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Opportunistic Infections / pathology
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Pseudotumor Cerebri / diagnosis
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Pseudotumor Cerebri / pathology
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Tomography, X-Ray Computed