title: [A case of hemophagocytic syndrome complicated by acute viral hepatitis A infection].
abstract: Hemophagocytic syndrome (HPS) is a rare but serious condition that is histopathologically characterized by activation of macrophage or histiocytes with hemophagocytosis in bone marrow and reticuloendothelial systems. Clinically it presents with high fever, hepatosplenomegaly, pancytopenia, liver dysfunction, and hyperferritinemia. Hepatitis A virus is a very rare cause of secondary HPS. We report a case of a 22-year-old woman infected by hepatitis A virus who was consequently complicated with HPS. She presented typical clinical features of acute hepatitis A, and showed clinical and biochemical improvements. However, HPS developed as a complication of acute hepatitis A and the patient died of intraperitoneal bleeding caused by hepatic decompensation and disseminated intravascular coagulation.
authors.affiliation: Department of Internal Medicine, Inje University College of Medicine, Sanggye Paik Hospital, Seoul, Korea.
authors.forename: Ji Young
authors.initials: JY
authors.lastname: Seo
authors.forename: Dong Dae
authors.initials: DD
authors.lastname: Seo
authors.forename: Tae Joo
authors.initials: TJ
authors.lastname: Jeon
authors.forename: Tae Hoon
authors.initials: TH
authors.lastname: Oh
authors.forename: Won Chang
authors.initials: WC
authors.lastname: Shin
authors.forename: Won Choong
authors.initials: WC
authors.lastname: Choi
authors.forename: Soo Jin
authors.initials: SJ
authors.lastname: Yoo
authors.forename: Tae Hee
authors.initials: TH
authors.lastname: Han
mesh_terms: D000208:Acute Disease; D004211:Disseminated Intravascular Coagulation / Q000150:complications; D005260:Female; D006470:Hemorrhage / Q000150:complications; D006506:Hepatitis A / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D017114:Liver Failure, Acute / Q000150:complications; D051359:Lymphohistiocytosis, Hemophagocytic / Q000150:complications / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed; D055815:Young Adult