Dengue associated haemophagocytic lymphohystiocytosis: An often-missed complication of a common infection
The Medical Journal of Malaysia
;
: 588-590, 2020.
Artigo
em Inglês
| WPRIM
| ID: wpr-829907
ABSTRACT
@#life-threatening condition causing multisystem involvementsuch as cytopenia, hepatosplenomegaly, and death. Dengueinfection is one of the leading causes of HLH. We reviewedthree cases of children at HRH Princess Maha ChakriSirindhorn Medical Center, Faculty of Medicine,Srinakharinwirot University, Nakhon Nayok, Thailand, withdengue fever who subsequently developed HLH, based onthe HLH-2004 diagnostic criteria. Following treatment withdexamethasone and intravenous immunoglobulin, there wasa dramatic response including defervescence andimprovement of cytopenia, hyperfibrinogenemia, andhyperferritinemia. Key features for diagnosis of denguefever complicated by HLH include a history of prolongedfever exceeding seven days, splenomegaly, and worseningcytopenia. Early recognition and treatment are crucial for asuccessful outcome.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Idioma:
Inglês
Revista:
The Medical Journal of Malaysia
Ano de publicação:
2020
Tipo de documento:
Artigo
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