Hemophagocytic Lymphohistiocytosis in Visceral Leishmaniasis: A Rare Yet Treatable Complication
Overview
Overview
Authors
Affiliations
Affiliations
Soon will be listed here.
Abstract
Hemophagocytic lymphohistiocytosis (HLH) is a rare debilitating condition that can be triggered by an infectious cause, often linked to the Epstein-Barr virus (EBV). In this case, we evaluated a patient with pancytopenia. The bone marrow aspiration revealed the presence of amastigotes and active hemophagocytosis, indicating that the HLH was induced by a infection. The patient was treated with lyophilized amphotericin B followed by miltefosine, which effectively resolved the infection and HLH. This case report underscores the presentation and findings of -induced HLH, as well as the successful treatment approach that led to improved patient outcomes.
References
1.
Zoref-Lorenz A, Ellis M, Jordan M
. Inpatient recognition and management of HLH. Hematology Am Soc Hematol Educ Program. 2023; 2023(1):259-266.
PMC: 10727013.
DOI: 10.1182/hematology.2023000509.
View
2.
Singh G, Shabani-Rad M, Vanderkooi O, Vayalumkal J, Kuhn S, Guilcher G
. Leishmania in HLH: a rare finding with significant treatment implications. J Pediatr Hematol Oncol. 2013; 35(3):e127-9.
DOI: 10.1097/MPH.0b013e318286d619.
View
3.
Grigoryan M, Manukyan V, Hovhannisyan S, Apresyan H
. A Case Series of Hemophagocytic Lymphohistiocytosis: An Atypical Presentation of Visceral Leishmaniasis. Cureus. 2024; 16(4):e58237.
PMC: 11091941.
DOI: 10.7759/cureus.58237.
View
4.
Henter J, Horne A, Arico M, Egeler R, Filipovich A, Imashuku S
. HLH-2004: Diagnostic and therapeutic guidelines for hemophagocytic lymphohistiocytosis. Pediatr Blood Cancer. 2006; 48(2):124-31.
DOI: 10.1002/pbc.21039.
View
5.
Srivastava P, Dayama A, Mehrotra S, Sundar S
. Diagnosis of visceral leishmaniasis. Trans R Soc Trop Med Hyg. 2010; 105(1):1-6.
PMC: 2999003.
DOI: 10.1016/j.trstmh.2010.09.006.
View