Hemophagocytic lymphohistiocytosis associated with severe P. falciparum malaria – A case report

Vikram Bhaskar , Shilpa Devamare , Suvasini Sharma , Sunita Sharma , Jagdish Chandra
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Abstract

Hemophagocytic lymphohistiocytosis (HLH) has been associated with infections, hematological malignancies and autoimmune conditions. Malaria has been rarely reported as a cause of HLH, and even rarer in pediatric population. We report a case of 10-year-old female child with fever, hepatospenomegaly, pancytopenia, hyperferritinemia, hypertriglyceridemia and bone marrow hemophagocytosis, favoring the diagnosis of HLH. She required steroid administration for clinical remission.

重症恶性疟原虫疟疾相关的噬血细胞淋巴组织细胞增多症1例报告
噬血细胞性淋巴组织细胞增多症(HLH)与感染、血液恶性肿瘤和自身免疫性疾病有关。疟疾很少被报道为HLH的原因,在儿科人群中更罕见。我们报告一例10岁女童,伴有发热、肝脾肿大、全血细胞减少、高铁蛋白血症、高甘油三酯血症和骨髓噬血细胞症,倾向于HLH的诊断。她需要类固醇治疗以缓解临床症状。
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