Refractory fever with pancytopenia in postpartum and SLE-induced pancreatitis.

摘要

The most common cause of puerperal fever is genital tract infection, and the evaluation of fever of unknown origin in the puerperium might be focused on an obstetric origin. We would like to call attention to the possibility of systemic lupus erythematosus (SLE) in refractory puerperal fever since early treatment can prevent severe multi-organ impairment. A 35-year-old woman had a cesarean section at 37 + 0 weeks in her first pregnancy due to arrest of descent. No evidence of a previous SLE manifestation was available. Ten days after the delivery, fever with a chilling sense developed and was treated with antibiotics. Despite treatment for 5 days, fever continued and the patient was referred to our hospital. Blood pressure was normal and body temperature was between 38.7 and 39.4degC.