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Case report
Haemophagocytic lymphohistiocytosis in an adult with postacute COVID-19 syndrome

Abstract

Haemophagocytic lymphohistiocytosis (HLH) causing multiorgan failure has been reported as an acute clinical presentation of COVID-19. However, the literature surrounding HLH in the context of a postacute COVID-19 syndrome is limited. This report presents a case of a life-threatening HLH occurring 6 weeks after a pauci-symptomatic COVID-19 infection in a previously healthy adult. A bone marrow aspirate confirmed the HLH and the patient was successfully treated with dexamethasone and etoposide. To our knowledge, this is the first case of HLH occurring as a postacute COVID-19 syndrome following a pauci-symptomatic initial infection.

  • COVID-19
  • adult intensive care
  • haematology (incl blood transfusion)
  • malignant and benign haematology

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https://bmj.com/coronavirus/usage

https://doi.org/10.1136/bcr-2021-245031

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