Disseminated tuberculosis complicated by hemophagocytic lymphohistiocytosis in an immunocompetent adult with favorable outcomes: A case report

<p dir="ltr">Hemophagocytic lymphohistiocytosis (HLH) is an uncommon hyperinflammatory syndrome characterized by excessive activation of macrophages and T-cells with high cytokines levels, causing multiorgan dysfunction.HLH has been associated with variable infectious etiologies, suc...

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محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Abdulrahman F. Al-Mashdali (17148316) (author)
مؤلفون آخرون: Musaed S. Al Samawi (14777764) (author)
منشور في: 2022
الموضوعات:
الوسوم: إضافة وسم
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author Abdulrahman F. Al-Mashdali (17148316)
author2 Musaed S. Al Samawi (14777764)
author2_role author
author_facet Abdulrahman F. Al-Mashdali (17148316)
Musaed S. Al Samawi (14777764)
author_role author
dc.creator.none.fl_str_mv Abdulrahman F. Al-Mashdali (17148316)
Musaed S. Al Samawi (14777764)
dc.date.none.fl_str_mv 2022-01-01T00:00:00Z
dc.identifier.none.fl_str_mv 10.1016/j.idcr.2021.e01370
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Disseminated_tuberculosis_complicated_by_hemophagocytic_lymphohistiocytosis_in_an_immunocompetent_adult_with_favorable_outcomes_A_case_report/24311875
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
TB
HLH
Hemophagocytic syndrome
Disseminated tuberculosis
Infection
Case report
dc.title.none.fl_str_mv Disseminated tuberculosis complicated by hemophagocytic lymphohistiocytosis in an immunocompetent adult with favorable outcomes: A case report
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p dir="ltr">Hemophagocytic lymphohistiocytosis (HLH) is an uncommon hyperinflammatory syndrome characterized by excessive activation of macrophages and T-cells with high cytokines levels, causing multiorgan dysfunction.HLH has been associated with variable infectious etiologies, such as tuberculosis(TB). TB-associated HLH (TB-HLH) is a rare condition, but it is fatal if not treated. The diagnosis of TB-HLH is challenging and might be missed if not highly considered. The classic manifestations of HLH include pancytopenia, organomegaly, lymphadenopathy, and coagulopathy. Herein, we present a young immunocompetent adult diagnosed with disseminated TB complicated by HLH. Our patient responded well to the combination of antituberculosis therapy(ATT), corticosteroid, and intravenous immunoglobulin(IVIG). This case highlights the importance of considering this fatal complication in TB patients.</p><h2>Other Information</h2><p dir="ltr">Published in: IDCases<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.idcr.2021.e01370" target="_blank">https://dx.doi.org/10.1016/j.idcr.2021.e01370</a></p>
eu_rights_str_mv openAccess
id Manara2_3f077364f957165ef2efbb265d6e2f21
identifier_str_mv 10.1016/j.idcr.2021.e01370
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/24311875
publishDate 2022
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spelling Disseminated tuberculosis complicated by hemophagocytic lymphohistiocytosis in an immunocompetent adult with favorable outcomes: A case reportAbdulrahman F. Al-Mashdali (17148316)Musaed S. Al Samawi (14777764)Biomedical and clinical sciencesCardiovascular medicine and haematologyClinical sciencesTBHLHHemophagocytic syndromeDisseminated tuberculosisInfectionCase report<p dir="ltr">Hemophagocytic lymphohistiocytosis (HLH) is an uncommon hyperinflammatory syndrome characterized by excessive activation of macrophages and T-cells with high cytokines levels, causing multiorgan dysfunction.HLH has been associated with variable infectious etiologies, such as tuberculosis(TB). TB-associated HLH (TB-HLH) is a rare condition, but it is fatal if not treated. The diagnosis of TB-HLH is challenging and might be missed if not highly considered. The classic manifestations of HLH include pancytopenia, organomegaly, lymphadenopathy, and coagulopathy. Herein, we present a young immunocompetent adult diagnosed with disseminated TB complicated by HLH. Our patient responded well to the combination of antituberculosis therapy(ATT), corticosteroid, and intravenous immunoglobulin(IVIG). This case highlights the importance of considering this fatal complication in TB patients.</p><h2>Other Information</h2><p dir="ltr">Published in: IDCases<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.idcr.2021.e01370" target="_blank">https://dx.doi.org/10.1016/j.idcr.2021.e01370</a></p>2022-01-01T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.idcr.2021.e01370https://figshare.com/articles/journal_contribution/Disseminated_tuberculosis_complicated_by_hemophagocytic_lymphohistiocytosis_in_an_immunocompetent_adult_with_favorable_outcomes_A_case_report/24311875CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/243118752022-01-01T00:00:00Z
spellingShingle Disseminated tuberculosis complicated by hemophagocytic lymphohistiocytosis in an immunocompetent adult with favorable outcomes: A case report
Abdulrahman F. Al-Mashdali (17148316)
Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
TB
HLH
Hemophagocytic syndrome
Disseminated tuberculosis
Infection
Case report
status_str publishedVersion
title Disseminated tuberculosis complicated by hemophagocytic lymphohistiocytosis in an immunocompetent adult with favorable outcomes: A case report
title_full Disseminated tuberculosis complicated by hemophagocytic lymphohistiocytosis in an immunocompetent adult with favorable outcomes: A case report
title_fullStr Disseminated tuberculosis complicated by hemophagocytic lymphohistiocytosis in an immunocompetent adult with favorable outcomes: A case report
title_full_unstemmed Disseminated tuberculosis complicated by hemophagocytic lymphohistiocytosis in an immunocompetent adult with favorable outcomes: A case report
title_short Disseminated tuberculosis complicated by hemophagocytic lymphohistiocytosis in an immunocompetent adult with favorable outcomes: A case report
title_sort Disseminated tuberculosis complicated by hemophagocytic lymphohistiocytosis in an immunocompetent adult with favorable outcomes: A case report
topic Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
TB
HLH
Hemophagocytic syndrome
Disseminated tuberculosis
Infection
Case report