Miliary Tuberculosis in a Young Woman with Hemophagocytic Syndrome: A Case Report and Literature Review

被引：10

作者：

Asaji, Mina ^{[1
]}

Tobino, Kazunori ^{[1
,2
]}

Murakami, Koujin ^{[1
]}

Goto, Yuki ^{[1
]}

Sueyasu, Takuto ^{[1
]}

Nishizawa, Saori ^{[1
]}

Yoshimine, Kohei ^{[1
]}

Munechika, Miyuki ^{[1
]}

Ko, Yuki ^{[1
]}

Yoshimatsu, Yuki ^{[1
]}

Tsuruno, Kosuke ^{[1
]}

Ide, Hiromi ^{[1
]}

Miyajima, Hiroyuki ^{[1
]}

Ebi, Noriyuki ^{[1
]}

机构：

[1] Iizuka Hosp, Dept Resp Med, Iizuka, Fukuoka, Japan

[2] Juntendo Univ, Sch Med, Dept Resp Med, Tokyo, Japan

来源：

INTERNAL MEDICINE | 2017年 / 56卷 / 12期

关键词：

miliary tuberculosis; hemophagocytic syndrome; noncaseating epithelioid granulomatous inflammation; RESPIRATORY-DISTRESS-SYNDROME; LYMPHOHISTIOCYTOSIS; CORTICOSTEROIDS;

D O I：

10.2169/internalmedicine.56.8025

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We herein report a rare case of miliary tuberculosis-associated hemophagocytic syndrome (HPS) complicated with respiratory failure. A 19-year-old Japanese woman with a fever, general malaise, and chest radiograph abnormalities was referred to our hospital. After admission, she developed respiratory failure with pancytopenia. A histological examination of lung and bone marrow biopsy samples revealed noncaseating granulomas without evidence of acid-fast bacilli or lymphoma. In addition, a bone marrow biopsy showed marked histiocyte hyperplasia with hemophagocytosis, and a bronchoalveolar lavage fluid culture grew Mycobacterium tuberculosis. Therefore, a diagnosis of miliary tuberculosis-associated HPS was made. The patient was successfully treated with antituberculous therapy.

引用

页码：1591 / 1596

页数：6

共 25 条

[1] Acute respiratory distress syndrome with miliary tuberculosis: a fatal combination [J].

Abi-Fadel, Francois ;

Gupta, Kanchan .

JOURNAL OF THORACIC DISEASE, 2013, 5 (01) :E1-E4

[2]

Balasubramanian S, 2008, INDIAN PEDIATR, V45, P593

[3]

BEG M, 2002, J INDIAN ACAD CLIN M, V2, P159

[4] Adult-Onset Immunodeficiency in Thailand and Taiwan [J].

Browne, Sarah K. ;

Burbelo, Peter D. ;

Chetchotisakd, Ploenchan ;

Suputtamongkol, Yupin ;

Kiertiburanakul, Sasisopin ;

Shaw, Pamela A. ;

Kirk, Jennifer L. ;

Jutivorakool, Kamonwan ;

Zaman, Rifat ;

Ding, Li ;

Hsu, Amy P. ;

Patel, Smita Y. ;

Olivier, Kenneth N. ;

Lulitanond, Viraphong ;

Mootsikapun, Piroon ;

Anunnatsiri, Siriluck ;

Angkasekwinai, Nasikarn ;

Sathapatayavongs, Boonmee ;

Hsueh, Po-Ren ;

Shieh, Chi-Chang ;

Brown, Margaret R. ;

Thongnoppakhun, Wanna ;

Claypool, Reginald ;

Sampaio, Elizabeth P. ;

Thepthai, Charin ;

Waywa, Duangdao ;

Dacombe, Camilla ;

Reizes, Yona ;

Zelazny, Adrian M. ;

Saleeb, Paul ;

Rosen, Lindsey B. ;

Mo, Allen ;

Iadarola, Michael ;

Holland, Steven M. .

NEW ENGLAND JOURNAL OF MEDICINE, 2012, 367 (08) :725-734

[5]

Chen CH, 2004, J FORMOS MED ASSOC, V103, P939

[6]

Cherif E, 2013, BMJ CASE REP, V2013

[7] Understanding organ dysfunction in hemophagocytic lymphohistiocytosis [J].

Creput, Caroline ;

Galicier, Lionel ;

Buyse, Sophie ;

Azoulay, Elie .

INTENSIVE CARE MEDICINE, 2008, 34 (07) :1177-1187

[8] Corticosteroids for prevention of mortality in people with tuberculosis: a systematic review and meta-analysis [J].

Critchley, Julia A. ;

Young, Fiona ;

Orton, Lois ;

Garner, Paul .

LANCET INFECTIOUS DISEASES, 2013, 13 (03) :223-237

[9] Predictors and outcome of patients with acute respiratory distress syndrome caused by miliary tuberculosis: a retrospective study in Chongqing, China [J].

Deng, Wang ;

Yu, Min ;

Ma, Hilary ;

Hu, Liang An ;

Chen, Gang ;

Wang, Yong ;

Deng, Jia ;

Li, ChangYi ;

Tong, Jin ;

Wang, Dao Xin .

BMC INFECTIOUS DISEASES, 2012, 12

[10] Miliary Tuberculosis with Hemophagocytosis in a Two Months Old Infant [J].

Deshpande, A. ;

Nayar, Priyanka S. ;

Pradhan, Avinash M. ;

Manchanda, Rumma V. .

INDIAN JOURNAL OF HEMATOLOGY AND BLOOD TRANSFUSION, 2010, 26 (03) :115-117

← 1 2 3 →