Tuberculosis-associated haemophagocytic syndrome

Haemophagocytic syndrome is a disorder characterised by fevers, lymphadenopathy, hepatosplenomegaly, cytopenias, and hyperferritinaemia due to dysregulated activation and proliferation of macrophages, leading to uncontrolled phagocytosis of platelets, erythrocytes, lymphocytes, and their haematopoie...

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Veröffentlicht in:The Lancet infectious diseases 2006-07, Vol.6 (7), p.447-454
Hauptverfasser: Brastianos, Priscilla K, Swanson, Jordan W, Torbenson, Michael, Sperati, John, Karakousis, Petros C
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container_issue 7
container_start_page 447
container_title The Lancet infectious diseases
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creator Brastianos, Priscilla K
Swanson, Jordan W
Torbenson, Michael
Sperati, John
Karakousis, Petros C
description Haemophagocytic syndrome is a disorder characterised by fevers, lymphadenopathy, hepatosplenomegaly, cytopenias, and hyperferritinaemia due to dysregulated activation and proliferation of macrophages, leading to uncontrolled phagocytosis of platelets, erythrocytes, lymphocytes, and their haematopoietic precursors throughout the reticuloendothelial system. Primary or familial haemophagocytic syndrome appears to have a genetic aetiology, whereas secondary haemophagocytic syndrome may be associated with malignancy, autoimmune disease, or infection. Epstein-Barr virus is the most common infectious aetiology implicated in haemophagocytic syndrome, but the syndrome has been associated with a variety of other viral, bacterial, and parasitic pathogens. We describe a case of haemophagocytic syndrome associated with disseminated Mycobacterium tuberculosis. We review all cases of M tuberculosis-associated haemophagocytic syndrome reported in the English language literature and discuss important issues pertaining to the epidemiology, diagnosis, and management of this disease.
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subjects Abdominal Pain - etiology
Adult
Bacterial diseases
Biological and medical sciences
Blood Cell Count
Diagnosis, Differential
Epidemiology
Etiology
Human bacterial diseases
Humans
Infectious diseases
Lymphocytes
Lymphohistiocytosis, Hemophagocytic - blood
Lymphohistiocytosis, Hemophagocytic - complications
Lymphohistiocytosis, Hemophagocytic - diagnosis
Male
Medical sciences
Mycobacterium tuberculosis - isolation & purification
Radiography
Tuberculosis
Tuberculosis and atypical mycobacterial infections
Tuberculosis, Pulmonary - blood
Tuberculosis, Pulmonary - complications
Tuberculosis, Pulmonary - diagnosis
Tuberculosis, Pulmonary - diagnostic imaging
Tuberculosis, Pulmonary - pathology
title Tuberculosis-associated haemophagocytic syndrome
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