Revista da Sociedade Brasileira de Medicina Tropical
Print version ISSN 0037-8682
AY, Yilmaz et al. Hemophagocytic lymphohistiocytosis associated with H1N1 virus infection and visceral leishmaniasis in a 4.5-month-old infant. Rev. Soc. Bras. Med. Trop. [online]. 2012, vol.45, n.3, pp. 407-409. ISSN 0037-8682. http://dx.doi.org/10.1590/S0037-86822012000300026.
We present a case of a 4.5-month-old boy from Turkey with hemophagocytic lymphohistiocytosis (HLH) associated with H1N1 virus and Leishmania spp. coinfection. Because visceral leishmaniasis can mimic hematologic disorders like HLH, it is important to rule out this clinical condition before starting immunosuppressive therapy. In our case, treatment with liposomal amphotericin B resulted in a dramatic resolution of clinical and laboratory abnormalities.
Keywords : H1N1 virus; Visceral leishmaniasis; Hemophagocytic lymphohistiocytosis.