CLINICAL case report: falciparum malaria with hemophagocytic syndrome.

نویسندگان

  • Kenji Ohnishi
  • Keiko Mitsui
  • Nobuhiro Komiya
  • Noriaki Iwasaki
  • Akiko Akashi
  • Yuichi Hamabe
چکیده

A 30-year-old Japanese woman with falciparum malaria was hospitalized because of fever and renal failure, and prolonged anemia was identified despite the eradication of malaria parasites through anti-malaria therapy. Bone marrow aspiration revealed the presence of macrophages with hemophagocytosis, and serum interleukin (IL)-18 and tumor necrosis factor (TNF)-alpha levels were high in the anemic phase. Hemophagocytosis was confirmed for at least 3 weeks, and prolonged hemophagocytic syndrome is thought to be one of the causes of prolonged anemia in patients with falciparum malaria.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Severe haemophagocytic syndrome in falciparum malaria.

Malaria is responsible for 0.5-1.2 million deaths each year. The majority of fatal cases are due to Plasmodium falciparum infection which is known for its severity, complications and drug resistance. Most of the fatalities occur in children and nonimmune travellers to the endemic areas. A number of complications have been described in falciparum malaria but, to the best of our knowledge, haemop...

متن کامل

Autoimmune Lymphoproliferative Syndrome Misdiagnosed as Hemophagocytic Lymphohistiocytosis A Case Report

Autoimmune lymphoproliferative Syndrome (ALPS) is a rare inherited disorder of apoptosis. It usually presents with chronic lymphadenopathy, splenomegaly, and symptomatic cytopenia in a child. Herein, we report a 14-year-old boy with symptoms misdiagnosed as hemophagocytic lymphohistiocytosis who was treated before ALPS was diagnosed for the patient. This case should alert pediatricians to consi...

متن کامل

Hemophagocytic syndrome associated with severe Plasmodium vivax malaria in a child in Bikaner (northwestern India).

order of the mononuclear phagocytic system, characterized by benign, generalized histiocytic proliferation, with marked hemophagocytosis in bone marrow1. Generally, HPS has been related with hematologic diseases, autoimmune diseases, or with various infections1. There are plenty of reports on hemophagocytic syndrome associated with Plasmodium falciparum monoinfetion2–9, but reports on the assoc...

متن کامل

Death from Hemophagocytic Lymphohistiocytosis Syndrome Due to Generalized Hemorrhage

Hemophagocytic lymphohistiocytosis (HLH) is the result of excessive cytokine release, leading to over-response by immune cells, such as macrophages and T lymphocytes. Here, we report a lethal case of HLH with a complete clinical course. The patient was a 45-year-old man with fever and chills since two months ago plus splenomegaly, hepatomegaly, and pancytopenia. The Anti-HBc IgM was positive, b...

متن کامل

Neonatal Malaria with Hyperglycemia and Hyperlipedemia: A Case Report

Abstract: Introduction: Neonatal Malaria manifests most commonly as fever ,anemia, hepatospleenomegaly, jaundice, loosestools and poor feeding however hyperglycemia and hyperlipedemia associated with malaria is not mentioned in literature. Case Presenttion : A full term neonate was admitted in December, in N.I.C.U. as fever and anemia with spleenohepatomegaly ,his peripheral smear was positive ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • The American journal of tropical medicine and hygiene

دوره 76 6  شماره 

صفحات  -

تاریخ انتشار 2007