Hemophagocytic Lymphohistiocytosis (HLH) Complicating the Double Trouble of Malaria and Kala-Azar-A Rare Presentation
Author(s) -
Ajay Chhabra,
Gian Chand,
Pritam Singh Sandhu,
Hardip Singh Nirman,
Smit Rajput,
Deepshikha Mangat
Publication year - 2015
Publication title -
medical science
Language(s) - English
Resource type - Journals
ISSN - 2321-5291
DOI - 10.29387/ms.2015.3.4.288-292
Subject(s) - hemophagocytic lymphohistiocytosis , presentation (obstetrics) , hemophagocytosis , medicine , malaria , severe malaria , pediatrics , immunology , dermatology , pathology , plasmodium falciparum , pancytopenia , surgery , bone marrow , disease
Hemophagocytic lymphohistiocytosis (HLH) is a rare hyperinflammatory syndrome which is characterized by inappropriate proliferation of lympho-histiocytes which phagocytize hematopoietic cells and thereby give rise to the clinical picture of fever, hepatosplenomegaly and cytopenias. HLH can be primary or secondary due to infections by bacteria, viruses, parasites and fungi. Here we present a case report of simultaneous infection of Plasmodium vivax and visceral leishmaniasis complicated by secondary HLH in a Border Security Force jawan (BSF soldier).
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