Ehrlichiosis Presenting as Hemophagocytic Lymphohistiocytosis in an Immunocompetent Adult

Autor: Tarang Pankaj Patel, Phillip Beck, Dennis Chairman, Hariharan Regunath
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: IDCases, Vol 20, Iss , Pp e00813- (2020)
Druh dokumentu: article
ISSN: 2214-2509
DOI: 10.1016/j.idcr.2020.e00813
Popis: Hemophagocytic Lymphohistiocytosis (HLH) is a fatal, immunologic syndrome characterized by dysregulated tissue inflammation. HLH can be either primary or secondary; with the latter typically resulting from an infection. Diagnosis requires five or more of the following: fever, splenomegaly, cytopenia, hypertriglyceridemia, hemophagocytosis via biopsy, low natural killer (NK) cell activity, elevated ferritin and soluble CD25 level (sCD25). We present a case of HLH related to ehrlichiosis.In order to mount an effective immune response against microbes such as Ehrlichia chaffeensis, the host must have preserved NK cell function. Being that HLH Is characterized as a state of depleted NK cell function, It is crucial to investigate the role NK cell function has in the setting of HLH on the infectivity of Ehrlichia species.
Databáze: Directory of Open Access Journals