Fatal Septic Shock in a Patient with Hemophagocytic Lymphohistiocytosis Associated with an Infectious Mononucleosis

The authors describe the case of a young woman who developed a clinical pictures resembling a septic shock-related multiple organ dysfunction syndrome a couple of months after having been diagnosed suffering from a hemophagocytic lymphohistiocytosis associated with an infectious mononucleosis. Despi...

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Main Authors: Giorgio Berlot, Ariella Tomasini, Lorenzo Zandonà, Eugenio Leonardo, Rossana Bussani, Nadia Zarrillo
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Critical Care
Online Access:http://dx.doi.org/10.1155/2018/9756050
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author Giorgio Berlot
Ariella Tomasini
Lorenzo Zandonà
Eugenio Leonardo
Rossana Bussani
Nadia Zarrillo
author_facet Giorgio Berlot
Ariella Tomasini
Lorenzo Zandonà
Eugenio Leonardo
Rossana Bussani
Nadia Zarrillo
author_sort Giorgio Berlot
collection DOAJ
description The authors describe the case of a young woman who developed a clinical pictures resembling a septic shock-related multiple organ dysfunction syndrome a couple of months after having been diagnosed suffering from a hemophagocytic lymphohistiocytosis associated with an infectious mononucleosis. Despite the aggressive treatment, which included antibiotics, vasopressors, IV immunoglobulins, and the use of an extracorporeal device aimed to remove mediators released both during sepsis and the cytokine storm determined by the hemophagocytic lymphohistiocytosis, the patient died. At the autopsy, an extremely uncommon aggressive lymphoma of Epstein-Barr virus-positive T-lymphocytes with systemic involvement was discovered.
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institution Kabale University
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publishDate 2018-01-01
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series Case Reports in Critical Care
spelling doaj-art-8f26a09f9bf44d27b29a8c2f6e22062a2025-02-03T06:13:43ZengWileyCase Reports in Critical Care2090-64202090-64392018-01-01201810.1155/2018/97560509756050Fatal Septic Shock in a Patient with Hemophagocytic Lymphohistiocytosis Associated with an Infectious MononucleosisGiorgio Berlot0Ariella Tomasini1Lorenzo Zandonà2Eugenio Leonardo3Rossana Bussani4Nadia Zarrillo5University of Trieste, Department of Anesthesia and Intensive Care, Cattinara Hospital, 447, 34149, Trieste, ItalyUniversity of Trieste, Department of Anesthesia and Intensive Care, Cattinara Hospital, 447, 34149, Trieste, ItalyUniversity of Trieste, Department of Pathology, Cattinara Hospital, 447, 34149, Trieste, ItalyUniversity of Trieste, Department of Pathology, Cattinara Hospital, 447, 34149, Trieste, ItalyUniversity of Trieste, Department of Pathology, Cattinara Hospital, 447, 34149, Trieste, ItalyCaserta Hospital, Department of Anesthesia and Intensive Care, ItalyThe authors describe the case of a young woman who developed a clinical pictures resembling a septic shock-related multiple organ dysfunction syndrome a couple of months after having been diagnosed suffering from a hemophagocytic lymphohistiocytosis associated with an infectious mononucleosis. Despite the aggressive treatment, which included antibiotics, vasopressors, IV immunoglobulins, and the use of an extracorporeal device aimed to remove mediators released both during sepsis and the cytokine storm determined by the hemophagocytic lymphohistiocytosis, the patient died. At the autopsy, an extremely uncommon aggressive lymphoma of Epstein-Barr virus-positive T-lymphocytes with systemic involvement was discovered.http://dx.doi.org/10.1155/2018/9756050
spellingShingle Giorgio Berlot
Ariella Tomasini
Lorenzo Zandonà
Eugenio Leonardo
Rossana Bussani
Nadia Zarrillo
Fatal Septic Shock in a Patient with Hemophagocytic Lymphohistiocytosis Associated with an Infectious Mononucleosis
Case Reports in Critical Care
title Fatal Septic Shock in a Patient with Hemophagocytic Lymphohistiocytosis Associated with an Infectious Mononucleosis
title_full Fatal Septic Shock in a Patient with Hemophagocytic Lymphohistiocytosis Associated with an Infectious Mononucleosis
title_fullStr Fatal Septic Shock in a Patient with Hemophagocytic Lymphohistiocytosis Associated with an Infectious Mononucleosis
title_full_unstemmed Fatal Septic Shock in a Patient with Hemophagocytic Lymphohistiocytosis Associated with an Infectious Mononucleosis
title_short Fatal Septic Shock in a Patient with Hemophagocytic Lymphohistiocytosis Associated with an Infectious Mononucleosis
title_sort fatal septic shock in a patient with hemophagocytic lymphohistiocytosis associated with an infectious mononucleosis
url http://dx.doi.org/10.1155/2018/9756050
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