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Hemophagocytic syndrome in a patient with disseminated tuberculosis: A case report

  • Autori: Lombardo, Vania; Puccia, Fania; Terranova, Antonino; Affronti, Andrea; Florena, Ada Maria; Giannitrapani, Lydia; Soresi, Maurizio*
  • Anno di pubblicazione: 2018
  • Tipologia: Articolo in rivista (Articolo in rivista)
  • Parole Chiave: Hemophagocytic lymphohistiocytosis disseminated tuberculosis; Hemophagocytic syndrome; Mycobacterium tuberculosis; Medicine (all)
  • OA Link:


Hemophagocytic syndrome (HS) is a rare disorder of the immune system. It is characterized by fever, lymphadenopathy, hepatosplenomegaly, cytopenia and hyperferritinemia. The cause differs in each country suggesting a specific genetic background and epidemiology of infections, and it can be associated with malignant diseases. A rare cause of HS is tuberculosis (TB), we describe a case of HS associated with disseminated Mycobacterium tuberculosis (MT) infection in a patient from Sudan. He presented diarrhea, fever, pancytopenia, thickened and dilated bowel loops and lymph nodes enlargement at ultrasound and computed tomography scan. A bone marrow biopsy performed to rule out a lymphoma revealed a HS. The bronchoalveolar lavage (BAL) culture was then positive for MT and subsequently, radiologic aspects of lung and spleen TB involvement appeared. A disseminated tuberculosis was diagnosed. Despite antituberculous therapy, the patient died as in approximately 50% of the HS associated with TB. nly