A Case of Hemophagocytic Syndrome due to Tuberculosis: Uncommon Manifestation of a Common Disease

Hemophagocytic syndrome, also known as hemophagocytic lymphohistiocytosis (HLH), is the manifestation of immune dysregulation. It is associated with ineffective but exaggerated immune response and infiltration of active lymphocytes and histiocytes in various organs. This devastating clinical conditi...

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Main Authors: Arijit Singha, Adreesh Mukherjee, Riddhi Dasgupta, Tapas Das
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2014/613845
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author Arijit Singha
Adreesh Mukherjee
Riddhi Dasgupta
Tapas Das
author_facet Arijit Singha
Adreesh Mukherjee
Riddhi Dasgupta
Tapas Das
author_sort Arijit Singha
collection DOAJ
description Hemophagocytic syndrome, also known as hemophagocytic lymphohistiocytosis (HLH), is the manifestation of immune dysregulation. It is associated with ineffective but exaggerated immune response and infiltration of active lymphocytes and histiocytes in various organs. This devastating clinical condition has myriad of clinical and biochemical manifestations such as fever, splenomegaly, pancytopenia, hypertrygliceridemia, and hyperferritinemia. It can be either primary or secondary. Primary HLH usually presents in childhood. Secondary HLH occurs due to infection mostly viruses but other aetiologies are also important as early detection and treatment may improve survival. Hemophagocytosis due to tuberculosis is uncommon. Only handful of cases have been reported mostly in immunocompromised patients. We report a case of hemophagocytic syndrome associated with disseminated tuberculosis in an immunocompetent women highlighting early diagnosis and treatment is a demanding need in this devastating disease.
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spelling doaj-art-9a2d7d9e3ddf4cb994c53a5760dd473c2025-02-03T05:43:42ZengWileyCase Reports in Medicine1687-96271687-96352014-01-01201410.1155/2014/613845613845A Case of Hemophagocytic Syndrome due to Tuberculosis: Uncommon Manifestation of a Common DiseaseArijit Singha0Adreesh Mukherjee1Riddhi Dasgupta2Tapas Das3Department of Medicine, Institute of Post Graduate Medical Education and Research and SSKM Hospital, 242 AJC Bose Road, Kolkata, West Bengal 700020, IndiaDepartment of Medicine, Institute of Post Graduate Medical Education and Research and SSKM Hospital, 242 AJC Bose Road, Kolkata, West Bengal 700020, IndiaDepartment of Medicine, Institute of Post Graduate Medical Education and Research and SSKM Hospital, 242 AJC Bose Road, Kolkata, West Bengal 700020, IndiaDepartment of Medicine, Institute of Post Graduate Medical Education and Research and SSKM Hospital, 242 AJC Bose Road, Kolkata, West Bengal 700020, IndiaHemophagocytic syndrome, also known as hemophagocytic lymphohistiocytosis (HLH), is the manifestation of immune dysregulation. It is associated with ineffective but exaggerated immune response and infiltration of active lymphocytes and histiocytes in various organs. This devastating clinical condition has myriad of clinical and biochemical manifestations such as fever, splenomegaly, pancytopenia, hypertrygliceridemia, and hyperferritinemia. It can be either primary or secondary. Primary HLH usually presents in childhood. Secondary HLH occurs due to infection mostly viruses but other aetiologies are also important as early detection and treatment may improve survival. Hemophagocytosis due to tuberculosis is uncommon. Only handful of cases have been reported mostly in immunocompromised patients. We report a case of hemophagocytic syndrome associated with disseminated tuberculosis in an immunocompetent women highlighting early diagnosis and treatment is a demanding need in this devastating disease.http://dx.doi.org/10.1155/2014/613845
spellingShingle Arijit Singha
Adreesh Mukherjee
Riddhi Dasgupta
Tapas Das
A Case of Hemophagocytic Syndrome due to Tuberculosis: Uncommon Manifestation of a Common Disease
Case Reports in Medicine
title A Case of Hemophagocytic Syndrome due to Tuberculosis: Uncommon Manifestation of a Common Disease
title_full A Case of Hemophagocytic Syndrome due to Tuberculosis: Uncommon Manifestation of a Common Disease
title_fullStr A Case of Hemophagocytic Syndrome due to Tuberculosis: Uncommon Manifestation of a Common Disease
title_full_unstemmed A Case of Hemophagocytic Syndrome due to Tuberculosis: Uncommon Manifestation of a Common Disease
title_short A Case of Hemophagocytic Syndrome due to Tuberculosis: Uncommon Manifestation of a Common Disease
title_sort case of hemophagocytic syndrome due to tuberculosis uncommon manifestation of a common disease
url http://dx.doi.org/10.1155/2014/613845
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