RECURRENT HAEMOPHAGOCYTIC SYNDROME IN AN HIV-INFECTED PATIENT

被引:6
|
作者
Ramon, I. [1 ]
Libert, M. [1 ]
Guillaume, M. P. [1 ]
Corazza, F. [2 ]
Karmali, R. [1 ]
机构
[1] Univ Libre Bruxelles, CHU Brugmann, Serv Med Interne, Brussels, Belgium
[2] Univ Libre Bruxelles, CHU Brugmann, Hematol Lab, Brussels, Belgium
来源
ACTA CLINICA BELGICA | 2010年 / 65卷 / 04期
关键词
Recurrent haemophagocytic syndrome; HIV infection; human herpesvirus 8; clostridial infection;
D O I
10.1179/acb.2010.059
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We describe a case of recurrent haemophagocytic syndrome (HS) in an HIV-infected patient. The first episode was associated with active human herpesvirus 8 infection and progressive Kaposi's sarcoma which was successfully treated with splenectomy, foscarnet and chemotherapy. The second episode was triggered by a Clostridium difficile colitis and resolved completely after treatment with metronidazole only. Recurrent HS has rarely been described in adult patients out of the setting of relapsing malignancy or autoimmune disease. The chronic immune dysregulation and suppression due to HIV-infection may predispose our patient to development of associated HS. Prognosis of HS remains poor, especially in HIV-infected patients. Rapidly unmasking the causative factor and timely instauration of adequate treatment are critical and may improve outcome.
引用
收藏
页码:276 / 278
页数:3
相关论文
共 50 条
  • [31] Vertebral osteonecrosis in an HIV-infected patient
    Sifuentes Giraldo, Walter A.
    Macia Villa, Cristina C.
    Quereda Rodriguez-Navarro, Carmen
    Vazquez Diaz, Monica
    ANTIVIRAL THERAPY, 2012, 17 (08) : 1627 - 1630
  • [32] SYPHILITIC PNEUMONITIS IN AN HIV-INFECTED PATIENT
    DOOLEY, DP
    TOMSKI, S
    CHEST, 1994, 105 (02) : 629 - 631
  • [33] OCULAR SYPHILIS IN AN HIV-INFECTED PATIENT
    Dajani, Rachel
    Tsing, Pamela
    JOURNAL OF GENERAL INTERNAL MEDICINE, 2020, 35 (SUPPL 1) : S528 - S529
  • [34] Buffalo hump in an HIV-infected patient
    Shain, CS
    Cleary, DJ
    ANNALS OF PHARMACOTHERAPY, 2002, 36 (11) : 1807 - 1807
  • [35] Coccidioides Thyroiditis in an HIV-Infected Patient
    Jinno, Sadao
    Chang, Shelley
    Jacobs, Michael R.
    JOURNAL OF CLINICAL MICROBIOLOGY, 2012, 50 (07) : 2535 - 2537
  • [36] TUBERCULOUS PERICARDITIS IN AN HIV-INFECTED PATIENT
    ANTONY, SJ
    HAAS, DW
    SCANDINAVIAN JOURNAL OF INFECTIOUS DISEASES, 1995, 27 (04) : 411 - 413
  • [37] SPLENECTOMY IN THE HIV-INFECTED PATIENT - REPLY
    COLE, JT
    FLAUM, MA
    SOUTHERN MEDICAL JOURNAL, 1993, 86 (08) : 980 - 980
  • [38] THE SURGEON AND THE HIV-INFECTED PATIENT - REPLY
    GOSTIN, LO
    JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1990, 264 (11): : 1408 - 1408
  • [39] Pulmonary cryptococcosis in an HIV-infected patient
    Bossi, P
    Morin, AS
    Datry, A
    Katlama, C
    Bricaire, F
    PRESSE MEDICALE, 2000, 29 (33): : 1819 - 1819
  • [40] Pembrolizumab in an HIV-infected patient with glioblastoma
    Yuen, Carlen A.
    Bao, Silin
    Pekmezci, Melike
    Mo, Fan
    Kong, Xiao-Tang
    IMMUNOTHERAPY, 2024, 16 (12) : 803 - 811