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1000 Titel
  • Hemophagocytic lymphohistiocytosis and thrombotic microangiopathy after parvovirus B19 infection and renal transplantation: a case report
1000 Autor/in
  1. Steffen, C. J. |
  2. Koch, N. |
  3. Eckardt, K. U. |
  4. Amann, K. |
  5. Seelow, E. |
  6. Schreiber, Adrian |
1000 Erscheinungsjahr 2021
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2021-10-12
1000 Erschienen in
1000 Quellenangabe
  • 22(1):337
1000 Copyrightjahr
  • 2021
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1186/s12882-021-02538-0 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8506469/ |
1000 Publikationsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Background!#!Hemophagocytic lymphohistiocytosis (HLH) is a rare and life-threatening disease characterized by hyperactivation of the immune system that causes hypercytokinemia and potentially multi organ failure. HLH can occur in patients with underlying rheumatic or autoinflammatory disorders. Additionally, HLH can develop in patients during infections or malignancies without a known genetic predisposition.!##!Case presentation!#!We herein report a patient, who presented with fever, both acute kidney and liver injury, anemia, thrombocytopenia and HSV stomatitis. HLH was diagnosed based on clinical criteria and qPCR revealed an acute parvovirus B19 infection as potential underlying infectious trigger. Treatment was started with both IVIG and dexamethasone. Subsequently, kidney biopsy demonstrated TMA.!##!Conclusions!#!In rare cases both HLH and aHUS can occur simultaneously in a patient as a consequence of viral infections. Insights from this unusual case might help physicians understand this complex symptom constellation.
1000 Sacherschließung
lokal Female [MeSH]
lokal Hemophagocytic Lymphohistiocytosis (HLH)
lokal Humans [MeSH]
lokal Thrombotic Microangiopathies/complications [MeSH]
lokal Parvovirus B19
lokal Parvoviridae Infections/diagnosis [MeSH]
lokal Case report
lokal Middle Aged [MeSH]
lokal Lymphohistiocytosis, Hemophagocytic/complications [MeSH]
lokal Atypical hemorrhagic uremic syndrome (aHUS)
lokal Postoperative Complications/diagnosis [MeSH]
lokal Lymphohistiocytosis, Hemophagocytic/diagnosis [MeSH]
lokal Thrombotic Microangiopathies/diagnosis [MeSH]
lokal Kidney Transplantation [MeSH]
lokal Parvoviridae Infections/complications [MeSH]
lokal Case Report
1000 Liste der Beteiligten
  1. https://frl.publisso.de/adhoc/uri/U3RlZmZlbiwgQy4gSi4=|https://frl.publisso.de/adhoc/uri/S29jaCwgTi4=|https://frl.publisso.de/adhoc/uri/RWNrYXJkdCwgSy4gVS4=|https://frl.publisso.de/adhoc/uri/QW1hbm4sIEsu|https://frl.publisso.de/adhoc/uri/U2VlbG93LCBFLg==|https://orcid.org/0000-0003-1244-6379
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1000 Erstellt am 2023-11-15T14:01:32.786+0100
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1000 Objekt bearb. Thu Nov 30 20:18:09 CET 2023
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