Mesenteric Panniculitis and Rhabdomyolysis Complicated by Invasive Fungal Co-infection in a Case of Systemic Lupus Erythematosus: An Autopsy Report

Kirti Gupta; Gargi Kapatia; Manish Rathi; Suvradeep Mitra; Manphool Singhal; Navneet Sharma

doi:10.4103/ijn.IJN_296_19

Mesenteric Panniculitis and Rhabdomyolysis Complicated by Invasive Fungal Co-infection in a Case of Systemic Lupus Erythematosus: An Autopsy Report

Indian J Nephrol. 2020 Sep-Oct;30(5):329-333. doi: 10.4103/ijn.IJN_296_19. Epub 2020 Sep 9.

Authors

Kirti Gupta¹, Gargi Kapatia¹, Manish Rathi², Suvradeep Mitra¹, Manphool Singhal³, Navneet Sharma⁴

Affiliations

¹ Department of Histopathology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
² Department of Nephrology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
³ Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
⁴ Department of Internal Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.

Abstract

Invasive fungal infections are a significant cause of morbidity and mortality in patients systemic lupus erythematosus. The case illustrates the autopsy findings in a patient with systemic lupus erythematosus complicated by multiple fungal infections. Rare, uncommon manifestations of SLE such as mesenteric panniculitis and rhabdomyolysis were also present. High index of suspicion with timely intervention with aggressive antifungal was life-saving.

Keywords: Mesenteric panniculitis; rhabdomyolysis; systemic lupus erythematosus.

Publication types

Case Reports