Overwhelming septic cavernous sinus thrombosis in a woman after combination of high-dose steroid and intravenous cyclophosphamide therapy for lupus nephritis

Lupus. 2000;9(1):78-9. doi: 10.1177/096120330000900116.

Abstract

There are many treatment methods for lupus nephritis, including high-dose steroids, pulse methylprednisolone, and cyclophosphamide therapy. In cyclophosphamide therapy, there can be some side effects such as nausea, vomiting, and infection. We report on a case receiving a combination of high dose steroid and intravenous cyclophosphamide. Following this, she developed a fever and a protruding right eye, and septic cavernous sinus thrombosis was diagnosed. This complication had never been reported in a patient with systemic lupus erythematosus, and related literature is reviewed.

Publication types

  • Case Reports
  • Letter

MeSH terms

  • Adult
  • Cavernous Sinus Thrombosis / chemically induced*
  • Cyclophosphamide / adverse effects*
  • Cyclophosphamide / therapeutic use
  • Drug Therapy, Combination
  • Exophthalmos / chemically induced
  • Exophthalmos / diagnostic imaging
  • Female
  • Glucocorticoids / adverse effects*
  • Glucocorticoids / therapeutic use
  • Humans
  • Immunosuppressive Agents / adverse effects*
  • Immunosuppressive Agents / therapeutic use
  • Infusions, Intravenous
  • Lupus Nephritis / drug therapy*
  • Prednisolone / adverse effects*
  • Prednisolone / therapeutic use
  • Tomography, X-Ray Computed

Substances

  • Glucocorticoids
  • Immunosuppressive Agents
  • Cyclophosphamide
  • Prednisolone