Hemophagocytic syndrome as an initial presentation of miliary tuberculosis without pulmonary findings.
A 9-y-old girl was admitted with fever, weakness and weight loss. She had pancytopenia in peripheral blood, hypocellularity and hemophagocytosis in bone marrow. Disseminated tuberculosis was diagnosed after a long delay, with involvement of the lungs, bone marrow, liver, spleen and central nervous system. Tuberculosis can be a cause of hemophagocytosis and should be taken into account in the differential diagnosis of fever of unknown origin associated with pancytopenia and hemophagocytosis.
Dilber
Embiya
E
Department of Paediatrics, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey. embiyadilber@yahoo.com
Erduran
Erol
E
Kalyoncu
Mukaddes
M
Aynaci
Fatma Müjgan
FM
Okten
Ayşenur
A
Ahmetoğlu
Ali
A
D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D005335:Fever of Unknown Origin / Q000209:etiology*; D015616:Histiocytosis, Non-Langerhans-Cell / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D014391:Tuberculosis, Miliary / Q000150:complications* / Q000175:diagnosis