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Systemic lupus erythematosus and melioidosis
  1. Mohd Jazman Che Rahim,
  2. Nurashikin Mohammad,
  3. Muhammad Imran Kamaruddin and
  4. Wan Syamimee Wan Ghazali
  1. Department of Internal Medicine, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kelantan, Malaysia
  1. Correspondence to Dr Wan Syamimee Wan Ghazali, mimeeghazali{at}


We reported a case of a young female patient presented with sepsis and diagnosed with melioidosis and systemic lupus erythematosus (SLE) within the same admission. She presented with 1-week history of productive cough, progressive dyspnoea together with prolonged fever, arthralgia, rashes and oral ulcers. She had septicemic shock, respiratory failure requiring intubation and ventilation in intensive care unit and subsequently developed acute renal failure requiring haemodialysis. Antibiotics and immunosuppressive treatment including low-dose intravenous cyclophosphamide were commenced. She had a remarkable recovery and was discharged after 6 weeks. There was no evidence of active SLE or relapse of melioidosis during clinic follow-ups.

  • Immunology
  • tropical medicine (infectious disease)
  • rheumatology
  • systemic lupus erythematosus
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  • Contributors MJCR drafted the manuscript. NM, MIK and WSWG edited the manuscript. WSWG approved the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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