%0 Journal Article %A Puraskar Pateria %A Annalise Martin %A Tze Sheng Khor %A Vanoo Jayasekeran %T Hepatosplenic T cell lymphoma presenting as multiorgan failure %D 2019 %R 10.1136/bcr-2018-228186 %J BMJ Case Reports %P e228186 %V 12 %N 3 %X A 59-year-oldwoman presented with a 2-month history of malaise, abdominal distention and unintentional weight loss. She was initially managed as community acquired pneumonia with a suspicion of underlying chronic liver disease but she deteriorated rapidly into a multiorgan failure necessitating transfer to intensive care unit of a tertiary hospital. She was investigated with liver and bone marrow biopsy that confirmed the diagnosis of hepatosplenic T cell lymphoma. She was treated with cyclophosphamide, doxorubicin, vincristine, etoposide and prednisolone chemotherapy that was changed to salvage ifosfamide carboplatin etoposide (ICE) chemotherapy due to poor response with first-line chemotherapy and disease progression. Unfortunately, her disease progressed further and she opted for palliative management. %U https://casereports.bmj.com/content/bmjcr/12/3/e228186.full.pdf