Ann Hematol (2017) 96:1755–1758 DOI 10.1007/s00277-017-3085-8 LETTER TO THE EDITOR Hemophagocytic lymphohistiocytosis (HLH) secondary to Ehrlichia chaffeensis with bone marrow involvement 1 1 2 3 Abdul Rafeh Naqash & Meera Yogarajah & Bethany Dawn Vallangeon & Maida Hafiz & 3 4 5 1 Deval Patel & Evelina Kolychev & Dora Alexandra Lebron & Darla Liles Received: 21 July 2017 /Accepted: 24 July 2017 /Published online: 31 July 2017 Springer-Verlag GmbH Germany 2017 Dear Editor, A 66-year-old African American female with a history of Hemophagocytic lymphohistiocytosis (HLH) is a rare life- HIV and noncompliance with anti-retroviral medications pre- threatening clinical syndrome of hyper inflammation that sented with septic shock requiring vasopressors. On admis- leads to a dysregulated and ineffective immune activation sion, the temperature was 38.2 °C; heart rate was in the 140 s; . Patients can often present similar to a sepsis-like syn- examination was remarkable for lethargy and diffuse abdom- drome with multi-organ dysfunction, and despite treat- inal pain. A computed tomography scan of the abdomen/ ment, a high mortality rate is observed . HLH is clas- pelvis was unrevealing. Complete blood count was notable sified as primary or familial when a gene mutation is for pancytopenia with
Annals of Hematology – Springer Journals
Published: Jul 31, 2017
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera