Postpartum hemophagocytic lymphohistiocytosis:A case report

作     者：Ju Ho An Jung Hwan Ahn 

作者机构：Department of Emergency MedicineAjou University School of MedicineSuwon 16499Gyeonggi-doSouth Korea 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2023年第11卷第26期

页      面：6183-6188页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Bone marrow Pregnancy Lymphohistiocytosis Infection Steroids Case report 

摘      要：BACKGROUND Postpartum hemophagocytic lymphohistiocytosis(HLH)is a rare disease with unclear *** is a secondary HLH diagnosed using the pediatric diagnostic criteria;however,the clinical diagnosis of postpartum HLH remains ***,HLH may remain undiagnosed,leading to poor patient ***,improvements in the accuracy of postpartum HLH diagnoses and treatments are *** SUMMARY We report the case of a 40-year-old female with postpartum *** patient attended the postpartum care center for 3 wk after giving birth and underwent needle aspiration due to thyroid gland enlargement 11 d before an emergency department visit precipitated by fever and abdominal *** no abnormal emergency room findings were noted,the patient was discharged with a prescription for broad-spectrum *** days later,she returned to the emergency room in a hemodynamically unstable state and was admitted to the intensive care unit with suspected sepsis or hematologic *** patient was treated,without effect,for sepsis using broad-spectrum antibiotics,and for suspected hematologic disease with steroid ***,she died due to rapidly worsening *** Rapid recognition and appropriate treatment of postpartum HLH are needed to improve the prognosis.