DOI: 10.12890/2021_003073
Haemophagocytic Lymphohistiocytosis as a Complication of Israeli Spotted Fever
Authors
mariamargaridaandrade@gmail.com
Keywords
Rickettsiosis, spotted fever, haemophagocytic, purpura fulminans, polyneuropathyAbstract
Rickettsia spp. human infection is endemic in Portugal in the form of Mediterranean spotted fever caused by R. conorii subsp. conorii and Israeli spotted fever (ISF) caused by R. conorii subsp. israelensis. We describe a rare case of haemophagocytic lymphohistiocytosis (HLH) due to ISF, with atypical manifestations. We highlight the need for clinical suspicion for this diagnosis and the importance of timely intervention and support.
References
- Schram A, Berliner N. How I treat hemophagocytic lymphohistiocytosis in the adult patient. Blood 2015;125(19):2908–2914.
- Pérez-de Pedro I, Macías-Vega N, Miranda-Candón I, Teresa Camps-García M. Infección grave por Rickettsia conorii asociada a síndrome hemofagocítico. Enferm Infecc Microbiol Clín 2008;26(9):597–598.
- Wu JR, Yuan LX, Ma ZG, Chen XX, Gu L, Gao J. GDF15-mediated upregulation of ferroportin plays a key role in the development of hyperferritinemia in children with hemophagocytic lymphohistiocytosis. Pediatr Blood Cancer 2013;60(6):940–945.
- Cohen R, Babushkin F, Shapiro M, Uda M, Atiya-Nasagi Y, Klein D, et al. Two cases of Israeli spotted fever with purpura fulminans, Sharon District, Israel. Emerg Infect Dis 2018;24(5):835–840.
- Evangelista T, Pimentel J, Luis M de L. Polirradiculonevrites agudas associadas à febre escaro-nodular [Acute polyradiculoneuritis associated with boutonneuse fever]. Acta Med Port 1994;7(7–8):437–439.