How to manage HMPV along with lupus?

Question

Hello doctor,

My mom, who is 52 years old, has lupus erythematosus and has recently been diagnosed with HMPV (a respiratory virus). She has been very weak lately and coughing a lot. The doctors prescribed her some antibiotics, but there has not been much improvement. Her oxygen levels have dipped a few times, and I am not sure if that is due to a lupus flare or the virus itself.

The doctors mentioned that HMPV can not be treated directly. Is there anything we can do to help make her more comfortable? Could her lupus medications be making this worse? Should her lupus medications be adjusted while she has the HMPV infection? Should we consult her rheumatologist as well?

Also, does HMPV cause long-term lung damage in people with autoimmune conditions like lupus?

Kindly advise.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

HMPV (human metapneumovirus) is a virus that usually causes symptoms similar to a common cold. While most cases are mild, young children, adults over 65, and people with weakened immune systems are at a higher risk for more serious illness. It can also be more severe in individuals with autoimmune conditions like lupus.

Although HMPV is not directly treatable, managing symptoms is essential. Supportive care measures such as staying hydrated, using a humidifier to ease breathing, maintaining adequate rest, and controlling fever with over-the-counter medications (as recommended by her doctor) can help improve comfort. Monitoring her oxygen levels at home, if possible.

Since lupus medications, particularly immunosuppressants, can increase susceptibility to infections, it’s important to consult her doctor about whether any adjustments to her medications are necessary during the infection. Stopping or reducing lupus medications without medical advice is not recommended, as this could trigger a lupus flare, which may complicate her recovery further.

It is also advisable to contact her rheumatologist for guidance, especially if symptoms of a lupus flare seem to overlap with those of the viral infection. They can provide insights into managing her lupus during this time and coordinate care with her primary doctor or specialists.

I hope this helps you.

Thank you.