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Case Reports in Infectious Diseases
Volume 2015, Article ID 970289, 4 pages
http://dx.doi.org/10.1155/2015/970289
Case Report

Sometimes There Is More Than One Puzzle on the Table: Pneumococcal Bacteremia as a New Systemic Lupus Erythematosus Presentation

1Department of Infectious Diseases, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad 91388-13944, Iran
2Department of Rheumatology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad 91388-13944, Iran

Received 12 October 2015; Accepted 9 December 2015

Academic Editor: Larry M. Bush

Copyright © 2015 Fereshte Sheybani et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Infection is common and a leading cause of death in patients with systemic lupus erythematosus (SLE). SLE is associated with a diverse spectrum of immune impairments including humoral defects and hypocomplementemia that contribute to a lupus patient’s increased susceptibility to infection with encapsulated bacteria. Nonetheless, there are only few reports of severe invasive bacterial infection as the initial presentation of SLE in the literature. Here, we report a rare case of SLE presenting with pneumococcal bacteremia. Based on the high resolution chest computed tomography and the result of blood cultures, the bacteremia was assumed to be secondary to pneumococcal pneumonia.