Abstract
A patient with systemic lupus erythematosus developed interstitial lung disease initially felt to be a manifestation of the disease but that, on further workup, proved to be a manifestation of cytomegalic disease resistant to ganciclovir. Treatment with foscarnet was associated with prompt improvement.
MeSH terms
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Antiviral Agents / pharmacology
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Cytomegalovirus / metabolism*
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Cytomegalovirus Infections / complications
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Cytomegalovirus Infections / diagnosis
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Female
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Ganciclovir / pharmacology*
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Humans
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Immunosuppression Therapy
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Immunosuppressive Agents / therapeutic use
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Lung Diseases, Interstitial / complications*
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Lung Diseases, Interstitial / virology*
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Lupus Erythematosus, Systemic / complications*
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Lupus Erythematosus, Systemic / drug therapy*
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Lupus Erythematosus, Systemic / virology
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Lupus Vulgaris / drug therapy
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Lupus Vulgaris / pathology
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Lupus Vulgaris / virology
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Middle Aged
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Pneumonia / complications
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Pneumonia / diagnosis
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Pneumonia / virology*
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Treatment Outcome
Substances
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Antiviral Agents
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Immunosuppressive Agents
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Ganciclovir