Abstract
This is the report of a 2-year-old boy who presented with fever, cytopenia, and splenomegaly. The patient was diagnosed with hemophagocytic lymphohistiocytosis (HLH) and treated with HLH-2004 protocol. Repeated bone marrow aspiration showed amastigotes on follow-up. In endemic countries, visceral leishmaniasis should be considered in the differential diagnosis to avoid chemotherapy toxicity.
MeSH terms
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Bone Marrow / parasitology
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Child, Preschool
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Humans
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Leishmaniasis, Visceral* / complications
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Leishmaniasis, Visceral* / diagnosis
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Leishmaniasis, Visceral* / drug therapy
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Lymphohistiocytosis, Hemophagocytic* / diagnosis
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Lymphohistiocytosis, Hemophagocytic* / drug therapy
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Lymphohistiocytosis, Hemophagocytic* / etiology
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Lymphohistiocytosis, Hemophagocytic* / parasitology
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Male