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Case Reports in Pediatrics
Volume 2018 (2018), Article ID 2031219, 4 pages
https://doi.org/10.1155/2018/2031219
Case Report

Combined Diagnosis of Systemic Lupus Erythematosus and Tuberculosis in an Irish Adolescent Female

1Department of Paediatrics, Cork University Hospital, Cork, Ireland
2Department of Emergency Medicine, Cork University Hospital, Cork, Ireland

Correspondence should be addressed to Kene Ebuka Maduemem; moc.liamtekcor@enekakube

Received 21 November 2017; Accepted 30 January 2018; Published 4 March 2018

Academic Editor: Abraham Gedalia

Copyright © 2018 Kene Ebuka Maduemem 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

Systemic lupus erythematosus (SLE) is an autoimmune disease of unknown aetiology, which can affect any organ system. Tuberculosis (TB) is a common infection in SLE because of immune dysregulation associated with the latter. We report a case of an adolescent female who presented with a year’s history of polyarticular arthralgia and fever. Physical examination revealed a large left effusion that needed drainage. Investigations revealed a combined diagnosis of SLE and TB. Management comprised quadruple anti-TB therapy and SLE treatment. She made a steady recovery and has maintained a stable state from the lupus perspective.