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2023, Number 3

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Med Int Mex 2023; 39 (3)

Aseptic meningitis probably induced by nonsteroidal anti-inflammatory drug in a patient with systemic lupus erythematosus

Navarro-De la Chica M, Perea-Rozas R, Gómez-Bernardo L, Yzusqui-Mendoza M, Luján-Flores RF
Full text How to cite this article

Language: Spanish
References: 7
Page: 554-556
PDF size: 170.87 Kb.


Key words:

Aseptic meningitis, Ibuprofen, Lupus erythematosus, systemic.

ABSTRACT

Background: The term aseptic meningitis refers to those patients with meningeal irritation symptoms compatible with meningitis, in which cultures are negative.
Clinical case: A 54-year-old female patient with a personal history of allergy to ibuprofen and amoxicillin, systemic lupus erythematosus and aseptic meningitis induced by nonsteroidal anti-inflammatory drugs, who began with meningeal irritation symptoms after taking ibuprofen. Symptoms were relieved after withdrawing the drug, consequently by we stablished with an exclusion method an aseptic meningitis induced by ibuprofen diagnosis.
Conclusions: Nonsteroidal anti-inflammatory drug induced aseptic meningitis is an unusual adverse effect. It is more frequent in patients with systemic lupus erythematosus. It is a diagnosis by exclusion, relieving with the withdrawal of the drug.


REFERENCES

  1. Widener HL, Littman BH. Ibuprofen-induced meningitis insystemic lupus erythematosus. JAMA. 1978; 239: 1062-1064.

  2. Escalante A, Stimmler MM. Trimethoprim-sulfamethoxasoleinduced meningitis in systemic lupus erythematosus.J Rheumatol 1992; 19: 800.

  3. Lafferty TE, DeHoratius RJ, Smith JB. Aseptic meningitisas a side effect of intravenous immune gammaglobulin. JRheumatol 1997; 24: 2491.

  4. Nguyen HTV, Juurlink DN. Recurrent ibuprofen-inducedaseptic meningitis. Ann Pharmacother 2004; 38: 408-410.doi: 10.1345/aph.1D329.

  5. Moris G, Garcia-Monco JC. The challenge of drug-inducedaseptic meningitis. Arch Intern Med 1999; 159 (11): 1185-94. doi: 10.1001/archinte.159.11.1185.

  6. Jolles S, Sewell WA, Leighton C. Drug-induced asepticmeningitis: diagnosis and management. Drug Saf 2000;22: 215-226. doi: 10.2165/00002018-200022030-00005.

  7. Durback MA, Freeman J, Schumacher HR. Recurrentibuprofen induced aseptic meningitis: third episode afteronly 200 mg of generic ibuprofen. Arthritis Rheum 1988;31: 813-815. doi: 10.1002/art.1780310622.




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Med Int Mex. 2023;39