Unusual pancytopenia secondary to haemophagocytosis syndrome in rickettsioses.

Abstract:

:We report two patients who presented with a long-lasting febrile illness associated with pancytopenia. Both of them had evidence of hypercellular marrow with haemophagocytosis. They were confirmed as having rickettsial infections by serology and had a rapid haematological recovery with anti-rickettsial antibiotics. We highlight the importance of considering rickettsial infections in patients with such clinical presentations, especially in areas where these infections are endemic or re-emerging. Empirical use of anti-rickettsial antibiotics in such situations could be beneficial, when facilities to diagnose rickettsial diseases are not readily available.

authors

Premaratna R,Williams HS,Chandrasena TG,Rajapakse RP,Kularatna SA,de Silva HJ

doi

10.1016/j.trstmh.2009.04.003

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

961-3

issue

9

eissn

0035-9203

issn

1878-3503

pii

S0035-9203(09)00132-1

journal_volume

103

pub_type

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