Published in:
Open Access
01-12-2015 | Case report
Acquired hemophagocytic syndrome related to parainfluenza virus infection: case report
Authors:
Nicole Beffermann, Javier Pilcante, Mauricio Sarmiento
Published in:
Journal of Medical Case Reports
|
Issue 1/2015
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Abstract
Introduction
We present the case of a patient with acquired hemophagocytic syndrome secondary to parainfluenza virus infection, a complication that has not, to the best of our knowledge, been previously reported.
Case presentation
A 33-year-old Chilean man with fever secondary to parainfluenza 2 virus infection developed progressive cholestasis, hepatosplenomegaly, cytopenia and an increased ferritin level (>2000IU/L). A bone marrow analysis showed hemophagocytosis. Our patient received HLH-94 chemotherapy, and he achieved complete and sustained remission after a two-year follow-up, without the need for hematopoietic stem cell transplantation.
Conclusion
Hemophagocytic syndrome is a severe disease with high mortality. A high index of suspicion is essential to improve survival. A viral etiology is frequent and although Epstein-Barr virus is the most frequently associated, other viruses like parainfluenza can cause this disease.