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Case report : hemorrhagic fever with renal syndrome presenting as hemophagocytic lymphohistiocytosis

Maarten De Smet, Simon Bogaert, Alexander Schauwvlieghe (UGent) , Amélie Dendooven (UGent) , Pieter Depuydt (UGent) and Patrick Druwé (UGent)
(2022) FRONTIERS IN MEDICINE. 9.
Author
Organization
Abstract
Hemophagocytic lymphohistiocytosis may occur in patients with genetic predisposition and in sporadic cases due to malignancy or infection. We describe a 49-year old man with hemorrhagic fever, type 1 respiratory insufficiency and acute kidney injury. Diagnostic work up showed a hyperinflammatory syndrome, hypertriglyceridemia, hemophagocytosis, very high ferritin and significantly elevated sCD25. The findings were compatible with hemophagocytic lymphohistiocytosis based on the HLH-2004 criteria. Serological testing indentified Puumala virus as the causal pathogen. The patient was successfully treated with pulse corticosteroids, intravenous immunoglobins and supportive therapy.
Keywords
communicable diseases Puumala virus-associated hemophagocytosis, critical care, hantavirus, hemorrhagic fever with renal syndrome, hemophagocytic lymphohistiocytosis

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Citation

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MLA
De Smet, Maarten, et al. “Case Report : Hemorrhagic Fever with Renal Syndrome Presenting as Hemophagocytic Lymphohistiocytosis.” FRONTIERS IN MEDICINE, vol. 9, 2022, doi:10.3389/fmed.2022.1096900.
APA
De Smet, M., Bogaert, S., Schauwvlieghe, A., Dendooven, A., Depuydt, P., & Druwé, P. (2022). Case report : hemorrhagic fever with renal syndrome presenting as hemophagocytic lymphohistiocytosis. FRONTIERS IN MEDICINE, 9. https://doi.org/10.3389/fmed.2022.1096900
Chicago author-date
De Smet, Maarten, Simon Bogaert, Alexander Schauwvlieghe, Amélie Dendooven, Pieter Depuydt, and Patrick Druwé. 2022. “Case Report : Hemorrhagic Fever with Renal Syndrome Presenting as Hemophagocytic Lymphohistiocytosis.” FRONTIERS IN MEDICINE 9. https://doi.org/10.3389/fmed.2022.1096900.
Chicago author-date (all authors)
De Smet, Maarten, Simon Bogaert, Alexander Schauwvlieghe, Amélie Dendooven, Pieter Depuydt, and Patrick Druwé. 2022. “Case Report : Hemorrhagic Fever with Renal Syndrome Presenting as Hemophagocytic Lymphohistiocytosis.” FRONTIERS IN MEDICINE 9. doi:10.3389/fmed.2022.1096900.
Vancouver
1.
De Smet M, Bogaert S, Schauwvlieghe A, Dendooven A, Depuydt P, Druwé P. Case report : hemorrhagic fever with renal syndrome presenting as hemophagocytic lymphohistiocytosis. FRONTIERS IN MEDICINE. 2022;9.
IEEE
[1]
M. De Smet, S. Bogaert, A. Schauwvlieghe, A. Dendooven, P. Depuydt, and P. Druwé, “Case report : hemorrhagic fever with renal syndrome presenting as hemophagocytic lymphohistiocytosis,” FRONTIERS IN MEDICINE, vol. 9, 2022.
@article{01GNQM6M8TNMK7C09SFT5QT2ZF,
  abstract     = {{Hemophagocytic lymphohistiocytosis may occur in patients with genetic predisposition and in sporadic cases due to malignancy or infection. We describe a 49-year old man with hemorrhagic fever, type 1 respiratory insufficiency and acute kidney injury. Diagnostic work up showed a hyperinflammatory syndrome, hypertriglyceridemia, hemophagocytosis, very high ferritin and significantly elevated sCD25. The findings were compatible with hemophagocytic lymphohistiocytosis based on the HLH-2004 criteria. Serological testing indentified Puumala virus as the causal pathogen. The patient was successfully treated with pulse corticosteroids, intravenous immunoglobins and supportive therapy.}},
  articleno    = {{1096900}},
  author       = {{De Smet, Maarten and Bogaert, Simon and Schauwvlieghe, Alexander and Dendooven, Amélie and Depuydt, Pieter and Druwé, Patrick}},
  issn         = {{2296-858X}},
  journal      = {{FRONTIERS IN MEDICINE}},
  keywords     = {{communicable diseases Puumala virus-associated hemophagocytosis,critical care,hantavirus,hemorrhagic fever with renal syndrome,hemophagocytic lymphohistiocytosis}},
  language     = {{eng}},
  pages        = {{6}},
  title        = {{Case report : hemorrhagic fever with renal syndrome presenting as hemophagocytic lymphohistiocytosis}},
  url          = {{http://doi.org/10.3389/fmed.2022.1096900}},
  volume       = {{9}},
  year         = {{2022}},
}
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