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JCR: Journal of Clinical Rheumatology:
doi: 10.1097/RHU.0000000000000129
Case Reports

Tuberculosis Infection Causing Intestinal Perforations in 2 Patients With Systemic Lupus Erythematosus

González, Luis A. MD*; Muñoz, Carolina MD; Restrepo, Mauricio MD*; Vanegas, Adriana Lucía MD*; Vásquez, Gloria MD, PhD*‡

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Abstract

Abstract: Patients with systemic lupus erythematosus (SLE) have a higher incidence rate of tuberculosis and a more frequent extrapulmonary involvement than the general population. We present 2 SLE patients who developed gastrointestinal tuberculosis complicated with intestinal perforation, a rare but serious complication that could be confused with lupus-associated intestinal vasculitis. Opportunistic infections such as tuberculosis must be suspected in SLE patients with abdominal symptoms on immunosuppressive therapy because its early recognition could prevent catastrophic complications such as intestinal perforation and subsequent peritonitis.

© 2014 by Lippincott Williams & Wilkins, Inc.

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