Mrs Mariapalam, a 61-year-old woman, was admitted with fever, breathlessness, and joint pain. Initial tests showed pericardial effusion, hypothyroidism, and an equivocal leptospirosis test. She was started on antitubercular treatment but symptoms persisted. Further evaluation at a new hospital found pleural effusions, pneumonia, positive antinuclear antibody and low complement levels, consistent with a diagnosis of lupus pneumonitis. She improved dramatically on high-dose intravenous steroids.

1. An Interesting case of PUO M 7 UNIT Prof Sundar

26. RFT 1.5 2.1 2.6 3.1 2.4 0.6 Creat 132 140 55 121 82 25 Urea 29.5 27.5 24.5 23.5 renal lab 22.5 8.5.08

40. Acute Lupus pneumonitis