1. A refractory case of dermatomyositis complicated with multiple brain abscesses
- Author
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Masaaki Takeo, Takeharu Koga, Takaaki Fukuda, Kentaro Yuge, Hisamichi Aizawa, Yoshikazu Jinnnouchi, Hiroshi Maruoka, and Seiyo Honda
- Subjects
medicine.medical_specialty ,Cyclophosphamide ,business.industry ,Gamma globulin ,Dermatomyositis ,medicine.disease ,Surgery ,Lesion ,Multiple Brain Abscesses ,Rheumatology ,Refractory ,medicine ,medicine.symptom ,Complication ,business ,Brain abscess ,medicine.drug - 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.
- Published
- 2006
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