[28-year old female patient with respiratory insufficiency, elevated liver enzymes, pancytopenia and fever]. / 28-jährige Patientin mit respiratorischer Insuffizienz, erhöhten Leberwerten, Fieber und Panzytopenie.
Internist (Berl)
; 51(11): 1434-8, 2010 Nov.
Article
em De
| MEDLINE
| ID: mdl-20676597
ABSTRACT
We report on a 28-year old female patient with fever and severe respiratory insufficiency requiring mechanical ventilation. Cytomegalovirus pneumonia was diagnosed by bronchoalveolar lavage, and antiviral therapy was initiated. However fever persisted and laboratory workup showed pancytopenia and elevated liver enzymes. Additional blood tests demonstrated a markedly elevated ferritin level and high concentrations of inflammatory cytokines. A diagnosis of hemophagocytic lymphohistiocytosis was made and immunosuppressive therapy was started. The patient's condition and laboratory values improved rapidly.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pancitopenia
/
Pneumonia Viral
/
Insuficiência Respiratória
/
Infecções por Citomegalovirus
/
Linfo-Histiocitose Hemofagocítica
/
Ferritinas
/
Febre de Causa Desconhecida
/
Testes de Função Hepática
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
/
Female
/
Humans
Idioma:
De
Revista:
Internist (Berl)
Ano de publicação:
2010
Tipo de documento:
Article