Hemophagocytic syndrome as an initial presentation of miliary tuberculosis without pulmonary findings

Dilber E., Erduran E., Kalyoncu M., Aynaci F., Okten A., Ahmetoglu A.

SCANDINAVIAN JOURNAL OF INFECTIOUS DISEASES, vol.34, no.9, pp.689-692, 2002 (SCI-Expanded) identifier identifier identifier


A 9-y-old girl was admitted with fever, weakness and weight loss. She had pancytopenia in peripheral blood, hypocellularity and hemophagocytosis in bone marrow. Disseminated tuberculosis was diagnosed after a long delay, with involvement of the lungs, bone marrow, liver, spleen and central nervous system. Tuberculosis can be a cause of hemophagocytosis and should be taken into account in the differential diagnosis of fever of unknown origin associated with pancytopenia and hemophagocytosis.