Hemophagocytic lymphohistiocytosis associated with H1N1 virus infection and visceral leishmaniasis in a 4.5-month-old infant

We present a case of a 4.5-month-old boy from Turkey with hemophagocytic lymphohistiocytosis (HLH) associated with H1N1 virus and Leishmania spp. coinfection. Because visceral leishmaniasis can mimic hematologic disorders like HLH, it is important to rule out this clinical condition before starting immunosuppressive therapy. In our case, treatment with liposomal amphotericin B resulted in a dramatic resolution of clinical and laboratory abnormalities.

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Bibliographic Details
Main Authors: Ay,Yilmaz, Yildiz,Basak, Unver,Hale, Karapinar,Deniz Yılmaz, Vardar,Fadil
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Medicina Tropical - SBMT 2012
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822012000300026
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Description
Summary:We present a case of a 4.5-month-old boy from Turkey with hemophagocytic lymphohistiocytosis (HLH) associated with H1N1 virus and Leishmania spp. coinfection. Because visceral leishmaniasis can mimic hematologic disorders like HLH, it is important to rule out this clinical condition before starting immunosuppressive therapy. In our case, treatment with liposomal amphotericin B resulted in a dramatic resolution of clinical and laboratory abnormalities.