A refractory case of dermatomyositis complicated with multiple brain abscesses

Authors: MARUOKA, Hiroshi; KOGA, Takeharu; JINNNOUCHI, Yoshikazu; HONDA, Seiyo; TAKEO, Masaaki; YUGE, Kentaro; FUKUDA, Takaaki; AIZAWA, Hisamichi

Source: APLAR Journal of Rheumatology, Volume 9, Number 3, September 2006 , pp. 275-277(3)

Publisher: Blackwell Publishing

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Abstract:

We describe a 48-year-old woman with dermatomyositis complicated with interstitial pneumonia. The pulmonary lesion was refractory; however, several therapeutic regimens such as steriod pulse therapy or gamma globulin and cyclophosphamide, resolved the situation. Later she developed multiple brain abscesses thought to be responsible for immune depression; prolonged antimycotic therapy brought dramatic improvement. Brain abscess is a rare complication in such immuno-compromised cases; attention should be given to the possibility of deep mycosis, especially brain abscess.

Keywords: brain abcess; dermatomyositis

Document Type: Research article

DOI: 10.1111/j.1479-8077.2006.00213.x

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