Case Report: Hemophagocytic Lymphohistiocytosis Secondary to Plasmodium ovale wallikeri Infection

María Novella-Mena Medicina Interna, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, Spain;

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Purificación Cantudo-Muñoz Microbiología y Parasitología Clínica, UGC Laboratorio Análisis Clínicos, Hospital Universitario San Agustín, Linares, Jaén, Spain;

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José David Tallón-Pérez Hematología y Hemoterapia, UGC Hematología y Hemoterapia, Hospital Universitario San Agustín, Linares, Jaén, Spain;

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María del Mar Gómez-Rodríguez Medicina Interna, UGC Medicina Interna, Hospital Universitario San Agustín, Linares, Jaén, Spain;

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Gerardo Rojo-Marcos Medicina Interna, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, Spain;
Universidad de Alcalá, Alcalá de Henares, Madrid, Spain

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ABSTRACT.

We report the first known case of hemophagocytic lymphohistiocytosis (HLH) secondary to imported Plasmodium ovale wallikeri infection in a 58-year-old white woman. A delayed diagnosis of malaria and HLH was made after protracted fever and pancytopenia failed to respond adequately to antimalarial treatment, which required intravenous methylprednisolone and gamma-globulin therapy to resolve.

Author Notes

Address correspondence to Gerardo Rojo-Marcos, Príncipe de Asturias University Hospital, Alcalá de Henares, Madrid, Spain, Ctra. de Meco s/n, 28805 Alcalá de Henares, Madrid, Spain. E-mail: grojo.hupa@salud.madrid.org

Authors’ addresses: María Novella-Mena, Medicina Interna, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, Spain, E-mail: mnovellam@gmail.com. Purificación Cantudo-Muñoz, Microbiología y Parasitología Clínica, UGC Laboratorio Análisis Clínicos, Hospital Universitario San Agustín, Linares, Jaén, Spain, E-mail: purificacion.cantudo.sspa@juntadeandalucia.es. José David Tallón-Pérez, Hematología y Hemoterapia, UGC Hematología y Hemoterapia, Hospital Universitario San Agustín, Linares, Jaén, Spain, E-mail: jd.tallon@gmx.es. María del Mar Gómez-Rodríguez, Medicina Interna, UGC Medicina Interna, Hospital Universitario San Agustín, Linares, Jaén, Spain, E-mail: margoro65@gmail.com. Gerardo Rojo-Marcos, Medicina Interna, Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Madrid, Spain, and Universidad de Alcalá, Alcalá de Henares, Madrid, Spain, E-mail: grojo.hupa@salud.madrid.org.

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