Journals / Acıbadem Üniversitesi Sağlık Bilimleri Dergisi / 2019 / Sayı: 2

A Patient Admitted With Diabetic Ketoacidosis and Developing Secondary Hemophagocytic Syndrome

DIABETIK KETOASIDOZ TANISIYLA YATIRILAN VE SEKONDER HEMOFAGOSITIK SENDROM GELIŞEN BIR OLGU

Pages
322–324
Publication Date
2019-06-01
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We described a patient who was admitted to the intensive care unit with a diagnosis of diabetic ketoacidosis and transferred to the ward when her general condition improved, but who was also diagnosed with hemophagocytic lymphohistiocytosis by bone marrow investigation performed due to a resistant fever, splenomegaly, bicytopenia and hyperferritinemia

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Hemophagocytic lymphohistiocytosis is characterized by high body temperature, splenomegaly, bicytopenia, hypertriglyceridemia, hyperferritinemia, hypofibrinogenemia, decreased natural killer cell activity, increased soluble CD25 activity and the presence of hemophagocytosis in organs such as the bone marrow, the lymph glands, spleen and liver.
📊
Key Findings & Data:Hemophagocytic lymphohistiocytosis is characterized by high body temperature, splenomegaly, bicytopenia, hypertriglyceridemia, hyperferritinemia, hypofibrinogenemia, decreased natural killer cell activity, increased soluble CD25 activity and the presence of hemophagocytosis in organs such as the bone marrow, the lymph glands, spleen and liver.
💡
Conclusion & Impact:We described a patient who was admitted to the intensive care unit with a diagnosis of diabetic ketoacidosis and transferred to the ward when her general condition improved, but who was also diagnosed with hemophagocytic lymphohistiocytosis by bone marrow investigation performed due to a resistant fever, splenomegaly, bicytopenia and hyperferritinemia
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Hemophagocytic lymphohistiocytosis · Diabetes Mellitus

Abstract

Hemophagocytic lymphohistiocytosis is characterized by high body temperature, splenomegaly, bicytopenia, hypertriglyceridemia, hyperferritinemia, hypofibrinogenemia, decreased natural killer cell activity, increased soluble CD25 activity and the presence of hemophagocytosis in organs such as the bone marrow, the lymph glands, spleen and liver. We described a patient who was admitted to the intensive care unit with a diagnosis of diabetic ketoacidosis and transferred to the ward when her general condition improved, but who was also diagnosed with hemophagocytic lymphohistiocytosis by bone marrow investigation performed due to a resistant fever, splenomegaly, bicytopenia and hyperferritinemia

Özet

Hemofagositik lenfohistiositoz, yüksek ateş, splenomegali, bisitopeni, hipertrigliseridemi, hiperferritinemi, hipofibrinojenemi, doğal öldürücü hücre aktivitesinde azalma, çözünür solüble CD25 aktivitesinde artma, kemikiliği, lenfbezi, dalak, karaciğer gibi organlarda hemofagositoz varlığı ile karakterizedir. Burada diabetik ketoasidoz tanısı ile yoğun bakım ünitesine yatırılan,genel durumunun düzelmesi üzerine serviste takibine devam edilen ancak dirençli ateş, splenomegali, bisitopeni, hiperferritinemi nedeniyle yapılan kemikiliği incelemesi ile hemofagositik lenfohistiositoz tanısı alan hasta sunulmuştur

🔖

Cite This Article

ERDOĞAN, S., GÖK, A., BAY, A., BOŞNAK, M. (2019). A Patient Admitted With Diabetic Ketoacidosis and Developing Secondary Hemophagocytic Syndrome. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, Sayı: 2, 322–324. https://ajindex.com/articles/162890

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (3)

  1. Oren H. Hemophagocytic syndrome. Turk J Hematol 2007; 1:7-13. Filipovich AH. Hemophagocytic lymphohistiocytosis and related disorders. Curr Opin Allergy Clin İmmunol 2006;6:410-5. [CrossRef] Rouphael NG, Talati NJ, Vaughan C, Cunningham K, Moreira R, Gould C. Infections associated with haemophagocytic syndrome. Lancet Infect Dis 2007; 7:814-22. [CrossRef] Maakaroun NR, Moanna A, Jacob JT, Albrecht H.Viral infections associated with haemophagocytic syndrome. Rev Med Virol 2010;20: 93-105. [CrossRef] Janka GE. Familial and acquired hemophagocytic lymphohistiocytosis. Eur J Pediatr 2007; 166: 95-109. [CrossRef] Minoia F, Davi S, Home A, Demirkaya E, Bovis F, Li C. Clinical features Wada Y, Sato M, Saito A, Gejyo T. Infection-associated Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2014;22:1162-6. [CrossRef] hemophagocytic syndrome in a diabetic patient undergoing chronic hemodialysis. Clin Exp Nephrol 2003; 7:163-6. [CrossRef] Makino C, Yanagi T, Toyama J, Yamada H, Seta K, Kitamura S. Case of diabetes mellitus succumbing to multiple organ failure due to hemophagocytic syndrome complicating mucormycosis. Nihon Naika Gakkai Zasshi 1999;88:133-4.
  2. Oren H, Gulen H, Uçar C, Duman M, Irken G. Successful Treatment of Infection-Associated Hemophagocytic Syndrome with Intravenous Immunoglobulin. Turk J Haematol 2003; 20: 95-9.
  3. Lu XX, Gao J. Research advances in the pathogenesis, diagnosis treatment, and outcome of macrophage activation syndrome complicating systemic juvenile idiopathic arthritis: a multinational multicenter study of 362 patients. Arthritis Rheumatol 2014;66:3160- 9. [CrossRef]