Hemophagocytic lymphohistiocytosis due to Streptococcus suis in a 12-year-old girl: A case report.
Journal
Medicine
ISSN: 1536-5964
Titre abrégé: Medicine (Baltimore)
Pays: United States
ID NLM: 2985248R
Informations de publication
Date de publication:
Apr 2019
Apr 2019
Historique:
entrez:
16
4
2019
pubmed:
16
4
2019
medline:
23
4
2019
Statut:
ppublish
Résumé
Hemophagocytic lymphohistiocytosis (HLH) is a life-threatening hyperinflammatory syndrome that can be caused by bacterial infection. Streptococcus suis (S. suis) is a zoonotic pathogen that can cause severe disease in both pigs and humans. We report the first-ever documented case of HLH secondary to S. suis infection. A 12-year-old girl presented with fever, rash, hepatosplenomegaly, pancytopenia, and elevated levels of ferritin and soluble CD25. Bone marrow examination revealed hemophagocytosis. Blood culture was positive for S. suis. A diagnosis of hemophagocytic syndrome due to S. suis was established. We treated the patient with intravenous immunoglobulin, intravenous imipenem, and supportive care. The patient eventually showed complete recovery. Inflammatory response plays an important role in S. suis infection. Aberrant inflammatory response to S. suis infection may induce HLH. This case report illustrates that early definitive diagnosis and prompt treatment is a key imperative in patients with suspected S. suis infection.
Identifiants
pubmed: 30985681
doi: 10.1097/MD.0000000000015136
pii: 00005792-201904120-00042
pmc: PMC6485824
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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