{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T08:41:37Z","timestamp":1766047297027,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,6,17]]},"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.1136\/bcr-2019-229974","type":"journal-article","created":{"date-parts":[[2019,7,2]],"date-time":"2019-07-02T06:15:22Z","timestamp":1562048122000},"page":"e229974","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Systemic lupus erythematosus and melioidosis"],"prefix":"10.1136","volume":"12","author":[{"given":"Mohd Jazman","family":"Che Rahim","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kelantan, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2178-6121","authenticated-orcid":false,"given":"Nurashikin","family":"Mohammad","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kelantan, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad Imran","family":"Kamaruddin","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kelantan, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7872-4581","authenticated-orcid":false,"given":"Wan Syamimee","family":"Wan Ghazali","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Kelantan, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,7,1]]},"reference":[{"key":"2025082709235973000_12.7.e229974.1","doi-asserted-by":"crossref","first-page":"1035","DOI":"10.1056\/NEJMra1204699","article-title":"Melioidosis","volume":"367","author":"Wiersinga","year":"2012","journal-title":"N Engl J Med Overseas Ed"},{"key":"2025082709235973000_12.7.e229974.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijantimicag.2014.01.005"},{"key":"2025082709235973000_12.7.e229974.3","doi-asserted-by":"publisher","DOI":"10.1002\/art.34473"},{"key":"2025082709235973000_12.7.e229974.4","doi-asserted-by":"publisher","DOI":"10.1002\/acr.21664"},{"key":"2025082709235973000_12.7.e229974.5","first-page":"528","article-title":"Community-acquired pneumonia in Thai patients with systemic lupus erythematosus","volume":"38","author":"Narata","year":"2007","journal-title":"Southeast Asian J Trop Med Public Health"},{"key":"2025082709235973000_12.7.e229974.6","doi-asserted-by":"publisher","DOI":"10.1002\/art.10461"},{"key":"2025082709235973000_12.7.e229974.7","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2008.102533"},{"key":"2025082709235973000_12.7.e229974.8","doi-asserted-by":"crossref","first-page":"430","DOI":"10.3855\/jidc.491","article-title":"Clinical characteristics and outcomes of bacteraemic melioidosis in a teaching hospital in a northeastern state of Malaysia: a five-year review","volume":"4","author":"Deris","year":"2010","journal-title":"J Infect Dev Ctries"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-229974","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:24:09Z","timestamp":1756311849000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-229974"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7]]},"references-count":8,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2019,7,1]]},"published-print":{"date-parts":[[2019,7]]}},"alternative-id":["10.1136\/bcr-2019-229974"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-229974","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,7]]}}}