Se presenta el caso de una mujer de 31 años, con diagnóstico de infección por el virus de inmunodeficiencia humana (VIH) por seis años y sin tratamiento antirretroviral. Ingresa al Servicio de Emergencia con un cuadro de insuficiencia respiratoria aguda severa y recibió tratamiento antituberculoso y cotrimoxazol para Pneumocystis jiroveci; con evolución desfavorable que terminó en muerte a las 48 horas del ingreso. El hallazgo anatomopatológico del parénquima pulmonar reveló la presencia de Citomegalovirus y Cryptococcus sp.

Up to 10% of patients with Systemic Lupus Erythematosus have a joint condition similar to that of rheumatoid arthritis, which is called “Rhupus”. These patients predominantly have signs and symptoms of rheumatoid arthritis and kidney damage associated with Lupus. Objectives: To describe the clinical characteristics and the renal histopathological findings in patients with rhupus. Materials and methods: Retrospective review of case reports and kidney biopsies from patients seen from 2003 to 2009 in Arzobispo Loayza National Hospital. Results: There were 7 patients with rhupus; their median age was 40 years, the median time of disease progression was 2 years. Most relevant renal histopathological findings were type IV glomerulonephritis in 5 patients; proteinuria between 288 to 2560 mg/24 hours and rheumatoid factor titers between14 to 34.6 UI/L were also found. Conclusion...

Up to 10% of patients with Systemic Lupus Erythematosus have a joint condition similar to that of rheumatoid arthritis, which is called “Rhupus”. These patients predominantly have signs and symptoms of rheumatoid arthritis and kidney damage associated with Lupus. Objectives: To describe the clinical characteristics and the renal histopathological findings in patients with rhupus. Materials and methods: Retrospective review of case reports and kidney biopsies from patients seen from 2003 to 2009 in Arzobispo Loayza National Hospital. Results: There were 7 patients with rhupus; their median age was 40 years, the median time of disease progression was 2 years. Most relevant renal histopathological findings were type IV glomerulonephritis in 5 patients; proteinuria between 288 to 2560 mg/24 hours and rheumatoid factor titers between14 to 34.6 UI/L were also found. Conclusion...

Se presenta el caso de una mujer de 31 años, con diagnóstico de infección por el virus de inmunodeficiencia humana (VIH) por seis años y sin tratamiento antirretroviral. Ingresa al Servicio de Emergencia con un cuadro de insuficiencia respiratoria aguda severa y recibió tratamiento antituberculoso y cotrimoxazol para Pneumocystis jiroveci; con evolución desfavorable que terminó en muerte a las 48 horas del ingreso. El hallazgo anatomopatológico del parénquima pulmonar reveló la presencia de Citomegalovirus y Cryptococcus sp.