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HEMOPHAGOCYTOSIS SECONDARY TO PHARYNGEAL ABSCESS IN AN IMMUNOCOMPETENT PATIENT (case report)

dc.creatorKhan, I. D.
dc.creatorMalik, M.
dc.creatorRajmohan, K. S.
dc.creatorBanerjee, P.
dc.creatorKhan, S.
dc.creatorPanda, P. S.
dc.creatorBrijwal, M.
dc.creatorGupta, S.
dc.creatorKahkasha, K.
dc.creatorGazala, S.
dc.creatorSawarat, E.
dc.creatorAguinaga, M. S.
dc.date2018-07-25
dc.date.accessioned2020-07-03T09:39:56Z
dc.date.available2020-07-03T09:39:56Z
dc.identifierhttps://ojs.tdmu.edu.ua/index.php/ijmr/article/view/8514
dc.identifier10.11603/ijmmr.2413-6077.2018.1.8514
dc.identifier.urihttps://repository.tdmu.edu.ua/handle/123456789/16449
dc.descriptionBackground. Hemophagocytosis is a rare, potentially fatal disorder, comprising pancytopenia, liver dysfunction, hepatosplenomegaly, hypertriglyceridemia, and hyperferritinemia presenting as fever, lympha­denopathy and skin rashes. Objective. To attract the clinicians’ attention to a problem of hemophagocytosis in Critical Care management.Methods. Hemophagocytosis secondary to pharyngeal abscess in a 58 year old male is being reported.Results. A 58-year-old immunocompetent patient presenting with hemophagocytosis secondary to pharyngeal abscess, was managed on ventilator and inotropic support, when he developed heathcare-associated urinary tract infection by Escherichia coli and ventilator-associated pneumonia by Acinetobacter baumanii. He developed neutropenic septic shock and multi-organ dysfunction and went through a downhill course leading to demise.Conclusions. Hemophagocytosis remains a sinister entity in modern intensive care despite astute clinical management. Secondary superinfections with opportunistic multidrug resistant pathogens are difficult to treat. A high index of clinical suspicion, aggressive diagnosis and prompt treatment for hemophagocytosis and polymicrobial opportunistic superinfections with multidrug-resistant healthcare-associated pathogens needs to be addressed upfront.en-US
dc.formatapplication/pdf
dc.languageeng
dc.publisherI. Horbachevsky Ternopil National Medical Universityen-US
dc.relationhttps://ojs.tdmu.edu.ua/index.php/ijmr/article/view/8514/8564
dc.sourceInternational Journal of Medicine and Medical Research; Vol. 4 No. 1 (2018): International Journal of Medicine and Medical Research; 41-44en-US
dc.sourceInternational Journal of Medicine and Medical Research; Том 4 № 1 (2018): International Journal of Medicine and Medical Research; 41-44ru-RU
dc.sourceInternational Journal of Medicine and Medical Research; Том 4 № 1 (2018): International Journal of Medicine and Medical Research; 41-44uk-UA
dc.source2414-9985
dc.source2413-6077
dc.source10.11603/ijmmr.2413-6077.2018.1
dc.subjecthemophagocytosisen-US
dc.subjectpharyngeal abscessen-US
dc.subjectAcinetobacter baumaniien-US
dc.subjectpancytopeniaen-US
dc.subjectventilator-associated pneumoniaen-US
dc.subjectsepsis.en-US
dc.titleHEMOPHAGOCYTOSIS SECONDARY TO PHARYNGEAL ABSCESS IN AN IMMUNOCOMPETENT PATIENT (case report)en-US
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:eu-repo/semantics/publishedVersion


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