A Case of Epstein-Barr Virus Associated Hemophagocytic Lymphohistiocytosis after Scrub Typhus Infection / 임상소아혈액종양
Clinical Pediatric Hematology-Oncology
;
: 49-52, 2012.
Article
in English
| WPRIM
| ID: wpr-788456
ABSTRACT
A 7-year-old boy with pancytopenia, cervical lymphadenopathy, interstitial pneumonia, and hepatosplenomegaly was diagnosed with Epstein-Barr Virus (EBV)-associated hemophagocytic lymphohistiocytosis. His clinical course was characterized by hepatorenal syndrome and myocarditis. Based on his serological markers for EBV and an immunochromatography test for scrub typhus, this case was inferred as an EBV infection that was reactivated during tsutsugamushi infection. We treated this patient with the HLH-2004 protocol and administered clarithromycin. Normal ferritin level was achieved within 8 weeks after starting chemotherapy and antibiotics.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pancytopenia
/
Hepatorenal Syndrome
/
Scrub Typhus
/
Chromatography, Affinity
/
Clarithromycin
/
Lung Diseases, Interstitial
/
Herpesvirus 4, Human
/
Epstein-Barr Virus Infections
/
Lymphohistiocytosis, Hemophagocytic
/
Ferritins
Type of study:
Practice guideline
Limits:
Child
/
Humans
Language:
English
Journal:
Clinical Pediatric Hematology-Oncology
Year:
2012
Type:
Article
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