Dengue Hemorrhagic Fever Complicated With Hemophagocytic Lymphohistiocytosis in an Adult With Diabetic Ketoacidosis

被引：2
|
作者：
Narayanasami, Ethayakumar [1 ]
Umakanth, Maheswaran [2 ,3 ]
Suganthan, Navaneethakrishnan [4 ,5 ]
机构：
[1] Base Hosp, Med, Batticaloa, Sri Lanka
[2] Eastern Univ Sri Lanka, Med Clin, Batticaloa, Sri Lanka
[3] Teaching Hosp, Univ Med Unit, Batticaloa, Sri Lanka
[4] Univ Jaffna, Med, Jaffna, Sri Lanka
[5] Teaching Hosp, Univ Med Unit, Jaffna, Sri Lanka
来源：
CUREUS JOURNAL OF MEDICAL SCIENCE | 2020年 / 12卷 / 08期
关键词：
dengue; dengue hemorrhagic fever; hemophagocytic lymphohistiocytosis (hlh); diabetic ketoacidosis; FERRITIN;
D O I：
10.7759/cureus.10172
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Dengue infection can cause a wide spectrum of presentations extending from simple self-limiting febrile illness to severe dengue, including dengue hemorrhagic fever (DHF) and dengue shock syndrome (DSS). Dengue associated hemophagocytic lymphohistiocytosis (HLH) is a rare, life-threatening condition characterized by the uncontrolled activation of macrophages and T cells, eliciting clusters of symptoms and signs and abnormal biochemical parameters. Herein we report a 28-year-old Sri Lankan female with no past medical history who presented with dengue hemorrhagic fever and diabetic ketoacidosis complicated with hemophagocytic lymphohistiocytosis. She was treated with a three-day course of intravenous methylprednisolone in addition to standard care for diabetic ketoacidosis and dengue hemorrhagic fever. She made an uneventful recovery.
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页数：6
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