Aseptic meningitis as a neuropsychiatric manifestation in patients diagnosed with systemic lupus erythematosus

Authors

Keywords:

systemic lupus erythematosus, aseptic meningitis, clinical relevance, rheumatology

Abstract

Systemic lupus erythematosus is a multifactorial systemic autoimmune disease. The objective of this research was to present a series of cases of patients with aseptic meningitis diagnosed with systemic lupus erythematosus, addressing the diagnostic process, follow-up, and treatment. Four patients are presented: a 49-year-old female, a 19-year-old female, a 43-year-old female, and a 14-year-old female, all with a history of systemic lupus erythematosus and neuropsychiatric manifestations, accompanied by fever and headache. In all cases, intravenous methylprednisolone was used for treatment, and a favorable outcome was observed, leading to patient discharge. Aseptic meningitis remains a frequent form of neuropsychiatric manifestation of systemic lupus erythematosus, with variability in the clinical presentation. This study confirms that there are no specific complementary diagnostic tests, and that timely identification and treatment are crucial for optimal patient care, providing essential insights in this particular area of ​​knowledge.

Downloads

Download data is not yet available.

Author Biography

Luis Carlos Mustelier Mustelier , Universidad de Ciencias Médicas de Santiago de Cuba. Hospital General Docente Orlando Pantoja Tamayo. Contramaestre. Santiago de Cuba, Cuba

Estudiante de la carrera de Ciencias Medicas

References

Abuhammad A, Habes YMN, AbuKhalaf SM, AbuKhalaf MM, Katbehbader DNJ, Ihmerou SAY, et al. Neuropsychiatric manifestation in patients with systemic lupus erythematosus: A unique case series. Ro J Rheumato [Internet]. 2024; 33(1): 63–8. DOI: http://dx.doi.org/10.37897/rjr.2024.1.9

Velasco Castro JC, Neisa Morales CA, Murcia Torres JM, García Agudelo L, Vargas Rodríguez LJ. Prevalencia de las manifestaciones neuropsiquiátricas en lupus eritematoso sistémico. Rev Repert Med Cir [Internet]. 2024; 33(3): 238–44. DOI: http://dx.doi.org/10.31260/repertmedcir.01217372.1423

Keshavprakash V, Srinivas A, Vidya TA, Jayaprakash V, Kumar J. An uncommon clinical mystery: Systemic lupus erythematosus masquerading as aseptic meningitis in a male patient. Cureus [Internet]. 2024; 16(9): e70484. DOI: http://dx.doi.org/10.7759/cureus.70484

Balsa Criado A, Díaz González F, editor. Tratado de Enfermedades Reumaticas. 2da ed. Madrid; España: Editorial Médica Panamericana; 2022.

Tsukamoto M, Shimamoto M, Terashima T, Seta N. Aseptic Meningitis With Systemic Lupus Erythematosus: Case Report and Review of the Literature. Arch Rheumatol [Internet]. 2018; 34(1): 108–11. DOI: http://dx.doi.org/10.5606/ArchRheumatol.2019.7026

De la Chica MN, Perea Rozas R, Gómez Bernardo L, Yzusqui Mendoza M, Luján Flores RF. Aseptic meningitis probably induced by nonsteroidal anti-inflammatory drug in a patient with systemic lupus erythematosus. Med Int Mex [Internet]. 2023; 39(3): 554–6. DOI: https://doi.org/10.24245/mim.v39i3.5737

Vicente Altabás MA, Capablo Liesa JL, Velilla Marco J, Vicente Altabás MJ. Mielopatía secundaria a lupus eritematoso sistémico. Med Int Mex [Internet]. 2023; 39(2): 412–7. DOI: https://doi.org/10.24245/mim.v39i2.5630

Ravichandran S, Kumar J, Chandrasekaran ND, Irfan S, Sathvika A. Antibodies in aseptic meningitis of connective tissue disorder: A case report. Cureus [Internet]. 2024; 16(5): e60762. DOI: http://dx.doi.org/10.7759/cureus.60762

Published

2026-03-29

How to Cite

1.
Sánchez Licea FA, Fong Pantoja L, Pérez López D, Dieguez Matamoros EB, Mustelier Mustelier LC. Aseptic meningitis as a neuropsychiatric manifestation in patients diagnosed with systemic lupus erythematosus. Rev. cuba. de Reumatol. [Internet]. 2026 Mar. 29 [cited 2026 Mar. 30];28:e1498. Available from: https://revreumatologia.sld.cu/index.php/reumatologia/article/view/1498

Issue

Section

Studies of cases