Virus-associated hemophagocytic syndrome in an international traveler as a differential diagnosis of SARS |
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Authors: | Ishii Hiroshi Asai Satomi Suzuki Takayoshi Eguchi Kenji Miyachi Hayato |
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Affiliation: | Department of Internal Medicine, Tokai University School of Medicine, Isehara. |
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Abstract: | During the epidemic of severe acute respiratory syndrome in 2003, a 27-year- old Japanese woman presented a high fever and acute respiratory distress with pulmonary infiltrates after traveling to a high-risk area. An alternative diagnosis was made as Epstein-Barr virus-associated hemophagocytic syndrome, based on the proliferation of macrophages with hemophagocytosis in the bone marrow and Epstein-Barr viral marker profiles. Virus-associated hemophagocytic syndrome in an international traveler should be included in the differential diagnosis of severe acute respiratory syndrome. |
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