Cargando…
Unusual Presentation of Hemophagocytic Lymphohistiocytosis in a Kidney Transplant Patient
We are presenting a case of a middle-aged woman with history of remote kidney transplantation who had multiple admissions for septic shock-like picture, recurrent fever, and hypotension. Her shock manifestation would resolve after stress dose steroid administration and less than 24 hours of vasopres...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6431471/ https://www.ncbi.nlm.nih.gov/pubmed/30984439 http://dx.doi.org/10.1155/2019/3682378 |
_version_ | 1783405932307283968 |
---|---|
author | Yang, Danwen Thamcharoen, Natanong Marcus, Chelsea Varkaris, Andreas Aird, William Khankin, Eliyahu V. Cardarelli, Francesca |
author_facet | Yang, Danwen Thamcharoen, Natanong Marcus, Chelsea Varkaris, Andreas Aird, William Khankin, Eliyahu V. Cardarelli, Francesca |
author_sort | Yang, Danwen |
collection | PubMed |
description | We are presenting a case of a middle-aged woman with history of remote kidney transplantation who had multiple admissions for septic shock-like picture, recurrent fever, and hypotension. Her shock manifestation would resolve after stress dose steroid administration and less than 24 hours of vasopressor administration. Initially, extensive workup was performed without revealing etiology. Eventually, a bone marrow biopsy was carried out leading to the diagnosis of hemophagocytic lymphohistiocytosis, most likely related to recent cytomegalovirus infection. |
format | Online Article Text |
id | pubmed-6431471 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-64314712019-04-14 Unusual Presentation of Hemophagocytic Lymphohistiocytosis in a Kidney Transplant Patient Yang, Danwen Thamcharoen, Natanong Marcus, Chelsea Varkaris, Andreas Aird, William Khankin, Eliyahu V. Cardarelli, Francesca Case Rep Transplant Case Report We are presenting a case of a middle-aged woman with history of remote kidney transplantation who had multiple admissions for septic shock-like picture, recurrent fever, and hypotension. Her shock manifestation would resolve after stress dose steroid administration and less than 24 hours of vasopressor administration. Initially, extensive workup was performed without revealing etiology. Eventually, a bone marrow biopsy was carried out leading to the diagnosis of hemophagocytic lymphohistiocytosis, most likely related to recent cytomegalovirus infection. Hindawi 2019-03-10 /pmc/articles/PMC6431471/ /pubmed/30984439 http://dx.doi.org/10.1155/2019/3682378 Text en Copyright © 2019 Danwen Yang et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Yang, Danwen Thamcharoen, Natanong Marcus, Chelsea Varkaris, Andreas Aird, William Khankin, Eliyahu V. Cardarelli, Francesca Unusual Presentation of Hemophagocytic Lymphohistiocytosis in a Kidney Transplant Patient |
title | Unusual Presentation of Hemophagocytic Lymphohistiocytosis in a Kidney Transplant Patient |
title_full | Unusual Presentation of Hemophagocytic Lymphohistiocytosis in a Kidney Transplant Patient |
title_fullStr | Unusual Presentation of Hemophagocytic Lymphohistiocytosis in a Kidney Transplant Patient |
title_full_unstemmed | Unusual Presentation of Hemophagocytic Lymphohistiocytosis in a Kidney Transplant Patient |
title_short | Unusual Presentation of Hemophagocytic Lymphohistiocytosis in a Kidney Transplant Patient |
title_sort | unusual presentation of hemophagocytic lymphohistiocytosis in a kidney transplant patient |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6431471/ https://www.ncbi.nlm.nih.gov/pubmed/30984439 http://dx.doi.org/10.1155/2019/3682378 |
work_keys_str_mv | AT yangdanwen unusualpresentationofhemophagocyticlymphohistiocytosisinakidneytransplantpatient AT thamcharoennatanong unusualpresentationofhemophagocyticlymphohistiocytosisinakidneytransplantpatient AT marcuschelsea unusualpresentationofhemophagocyticlymphohistiocytosisinakidneytransplantpatient AT varkarisandreas unusualpresentationofhemophagocyticlymphohistiocytosisinakidneytransplantpatient AT airdwilliam unusualpresentationofhemophagocyticlymphohistiocytosisinakidneytransplantpatient AT khankineliyahuv unusualpresentationofhemophagocyticlymphohistiocytosisinakidneytransplantpatient AT cardarellifrancesca unusualpresentationofhemophagocyticlymphohistiocytosisinakidneytransplantpatient |