Tuberculosis-associated hemophagocytic syndrome in a hemodialysis patient with protracted fever

Chih Chiang Chien, Tzeon Jye Chiou, Ming Yang Lee, Liang Tsai Hsiao, Wei Kang Kwang

研究成果: 雜誌貢獻文章同行評審

12 引文 斯高帕斯(Scopus)

摘要

Hemophagocytic syndrome (HPS) is a clinicopathological reflection of uncontrolled activation of macrophages. To our knowledge, only a few cases of tuberculosis-associated HPS in hemodialysis have been reported in the English literature. We report a case of tuberculosis-associated HPS during hemodialysis. Bone marrow aspiration showed histiocytosis with hemophagocytosis; in addition, results of acid-fast staining and polymerase chain reaction showed the presence of acid-fast bacilli. Mycobacterium tuberculosis was subsequently cultured from sputum. The patient received late treatment with antituberculosis agents combined with intravenous immunoglobulin and had a poor response. On the basis of the results in this case, we recommend early bone marrow and tuberculous examination for patients undergoing maintenance hemodialysis who have fever of unknown origin.
原文英語
頁(從 - 到)334-336
頁數3
期刊International Journal of Hematology
79
發行號4
DOIs
出版狀態已發佈 - 5月 2004
對外發佈

ASJC Scopus subject areas

  • 血液學

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