Secondary Hemophagocytic Lymphohistiocytosis Due to Typhoid Fever
نویسندگان
چکیده
Hemophagocytic lymphohistiocytosis (HLH) is a potentially fatal hyper-inflammatory state that caused by highly activated but ineffective immune system. It can be primary or secondary to triggers like infections, malignancies, and autoimmune conditions. The authors present the case of young male with fever abdominal pain due typhoid. He continued have high-spiking developed dyspnea, requiring oxygen therapy despite being treated appropriate antibiotics. Laboratory evaluation revealed cytopenias deranged liver function tests, imaging hepatosplenomegaly. These clinical laboratory findings raised suspicion HLH typhoid fever. Further investigations were suggestive hyperferritinemia hypofibrinogenemia, bone marrow aspirates showed hemophagocytes. patient was immunosuppression (dexamethasone) antibiotics remarkable recovery. should suspected in patients tropical infections enteric fever, tuberculosis, malaria, dengue, etc. worsen treatment, as late diagnosis associated greater mortality.
منابع مشابه
Typhoid Fever Complicated by Hemophagocytic Lymphohistiocytosis and Rhabdomyolysis.
Hemophagocytic lymphohistiocytosis (HLH) and rhabdomyolysis are rare complications of typhoid fever from Salmonella enterica serovar Typhi. Herein, we describe the clinical features in a 21-year-old female from India who presented to the intensive care unit with fever, severe pancytopenia, and rhabdomyolysis.
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ژورنال
عنوان ژورنال: Cureus
سال: 2023
ISSN: ['2168-8184']
DOI: https://doi.org/10.7759/cureus.42175