TY - JOUR TI - Catastrophic Antiphospholipid Syndrome Triggered by Fulminant Chikungunya Infection in a Patient with Systemic Lupus Erythematosus PB - John Wiley and Sons Inc. PY - 2016 issn 2326-5191 AB - The patient, a 21-year-old woman, was admitted to the intensive care unit with a 4-day history of fever, arthritis of the hands and feet, oli- guria with anasarca, diarrhea, and widespread skin rash. Systemic lupus erythematosus had been diagnosed 5 years previously. She was positive for lupus anticoagulant and anticardiolipin antibody but had no history of thrombotic or obstetric manifestations. Laboratory tests for infection and immunologic or biochemical abnormalities were performed and, based on multiple abnormal findings, treatment with broad-spectrum antibiotics was instituted. KW - Medical sciences KW - Antiphospholipid syndrome KW - systemic lupus erythematosus KW - Ciencias socio biomédicas UR - http://hdl.handle.net/10906/81681 ER -