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
  • [41] Osteonecrosis of the knee in an HIV-infected patient
    Llauger, J
    Palmer, J
    Rosón, N
    Fernández, A
    Camins, A
    AMERICAN JOURNAL OF ROENTGENOLOGY, 1998, 171 (04) : 987 - 988
  • [42] Hyperpnoea and ketonuria in an HIV-infected patient
    Roubaud-Baudron, C.
    Bourry, Edward
    Martinez, Valerie
    Canestri, Ana
    Deray, Gilbert
    Izzedine, Hassane
    NEPHROLOGY DIALYSIS TRANSPLANTATION, 2007, 22 (02) : 649 - 651
  • [43] Autonomic failure in a HIV-infected patient
    Tank, Jens
    Heusser, Karsten
    Schroeder, Christoph
    Luft, Friedrich C.
    Jordan, Jens
    CLINICAL AUTONOMIC RESEARCH, 2010, 20 (04) : 263 - 265
  • [44] Necrotizing fasciitis in an HIV-infected patient
    Sudushe, Amar
    Vasani, Resham
    Thakre, Minal
    Saple, D. G.
    INDIAN JOURNAL OF DERMATOLOGY VENEREOLOGY & LEPROLOGY, 2008, 74 (03): : 268 - 270
  • [45] Gastric syphilis in an HIV-infected patient
    Guerrero, AF
    Straight, TM
    Eastone, J
    Spooner, K
    AIDS PATIENT CARE AND STDS, 2005, 19 (05) : 281 - 285
  • [46] Kidney disease in the HIV-infected patient
    Fine, Derek M.
    Atta, Mohamed G.
    AIDS PATIENT CARE AND STDS, 2007, 21 (11) : 813 - 824
  • [47] Liver Transplantation in HIV-Infected Patient
    Dogar, Abdul Wahab
    Ullah, Kaleem
    Uddin, Shams
    Ahmed, Hafiz Bilal
    JCPSP-JOURNAL OF THE COLLEGE OF PHYSICIANS AND SURGEONS PAKISTAN, 2022, 32 (12): : 1635 - 1636
  • [48] MANAGEMENT OF THE FEMALE HIV-INFECTED PATIENT
    BAKER, DA
    AIDS RESEARCH AND HUMAN RETROVIRUSES, 1994, 10 (08) : 935 - 938
  • [49] The initial assessment of the HIV-infected patient
    Sadovsky, R
    Gillette, P
    PRIMARY CARE, 1997, 24 (03): : 497 - +
  • [50] COGNITIVE DYSFUNCTION IN AN HIV-INFECTED PATIENT
    SINGER, EJ
    HOSPITAL PRACTICE, 1992, 27 (05): : 91 - &