The great masquerader: Hemophagocytic lymphohistiocytosis secondary to cytomegalovirus infection in an immunocompetent young man.

Research paper by Akanksha A Singh, Ajay A Chauhan, Vaibhav V Padole, Devyani D Chhabra, Raghav R Upneja

Indexed on: 27 Oct '20Published on: 27 Oct '20Published in: Journal of family medicine and primary care


Hemophagocytic lymphohistiocytosis (HLH) is a rare, poorly recognized and underdiagnosed syndrome of excessive immune activation, which is rapidly fatal. HLH can occur as a familial or secondary disorder. Secondary HLH is most commonly associated with infections, malignancies, or autoimmune diseases. It primarily affects patients with a compromised immune system and rarely presents in immunocompetent individuals. Acute cytomegalovirus (CMV) associated HLH in the immunocompetent individual is extremely rare and only documented in five case reports till date. We, hereby, report a case of 18 years old young immunocompetent man who was diagnosed to have HLH secondary to CMV infection. Copyright: © 2020 Journal of Family Medicine and Primary Care.