Tuberculosis-associated hemophagocytic syndrome in a hemodialysis patient with protracted fever.

Abstract:

:Hemophagocytic syndrome (HPS) is a clinicopathological reflection of uncontrolled activation of macrophages. To our knowledge, only a few cases of tuberculosis-associated HPS in hemodialysis have been reported in the English literature. We report a case of tuberculosis-associated HPS during hemodialysis. Bone marrow aspiration showed histiocytosis with hemophagocytosis; in addition, results of acid-fast staining and polymerase chain reaction showed the presence of acid-fast bacilli. Mycobacterium tuberculosis was subsequently cultured from sputum. The patient received late treatment with antituberculosis agents combined with intravenous immunoglobulin and had a poor response. On the basis of the results in this case, we recommend early bone marrow and tuberculous examination for patients undergoing maintenance hemodialysis who have fever of unknown origin.

journal_name

Int J Hematol

authors

Chien CC,Chiou TJ,Lee MY,Hsiao LT,Kwang WK

doi

10.1532/ijh97.a10315

subject

Has Abstract

pub_date

2004-05-01 00:00:00

pages

334-6

issue

4

eissn

0925-5710

issn

1865-3774

journal_volume

79

pub_type

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