Virological and immunological characteristics of fatal virus-associated haemophagocytic syndrome (VAHS).
We report three infants and one teenager with fatal virus-associated haemophagocytic syndrome (VAHS). Two infants were admitted to our hospital because of cardio-pulmonary arrest (CPA). The third infant was admitted to our department because of fever and liver dysfunction, and he was diagnosed as combined immunodeficiency with predominant T cell defect. The teenager was diagnosed as systemic lupus erythema (SLE) when she was 10 years old and admitted to our department because of fever and thrombocytopenia . The histological findings for the four patients' organs revealed many haemophagocytic cells . The patients were infected by Parainfluenza virus type 2 (PIV2), Enterovirus (EV), Cytomegalovirus (CMV), and Epstein-Barr virus (EBV), respectively. Their laboratory data revealed elevated levels of ferritin and IL-6, which also suggested virus-associated haemophagocytic syndrome (VAHS). Although aggressive therapies were performed in all cases, the outcome was fatal. Further investigation would be needed to clarify the mechanism of VAHS and an effective therapeutic regimen is needed.
Kashiwagi
Yasuyo
Y
Department of Pediatrics, Tokyo Medical University, Japan. hoyohoyo@tokyo-med.ac.jp
Kawashima
Hisashi
H
Sato
Satoshi
S
Ioi
Hiroaki
H
Amaha
Masahiro
M
Takekuma
Kouji
K
Hoshika
Akinori
A
Oshiro
Hisashi
H
Matsubayashi
Jun
J
Mukai
Kiyoshi
K
D000293:Adolescent; D001853:Bone Marrow / Q000473:pathology; D003587:Cytomegalovirus / Q000302:isolation & purification; D004770:Enterovirus / Q000302:isolation & purification; D004769:Enterovirus Infections / Q000276:immunology / Q000473:pathology* / Q000503:physiopathology; D017809:Fatal Outcome; D005260:Female; D005293:Ferritins / Q000097:blood; D006566:Herpesviridae Infections / Q000276:immunology / Q000473:pathology / Q000821:virology; D004854:Herpesvirus 4, Human / Q000302:isolation & purification; D006801:Humans; D007223:Infant; D015850:Interleukin-6 / Q000097:blood; D007668:Kidney / Q000473:pathology; D008099:Liver / Q000473:pathology; D008168:Lung / Q000473:pathology; D051359:Lymphohistiocytosis, Hemophagocytic / Q000276:immunology* / Q000473:pathology / Q000821:virology*; D008297:Male; D010223:Parainfluenza Virus 2, Human / Q000302:isolation & purification; D019351:Rubulavirus Infections / Q000276:immunology / Q000473:pathology / Q000503:physiopathology
D015850:Interleukin-6; D005293:Ferritins