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2024, Vol: 14, Issue: 4
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Case Report 


Disseminated Fusariosis with Secondary Hemophagocytic Lymphohistiocytosis

Garima Nirmal, Guruprasad Chellappan Sojamani, Manjusha Nair, Swapna R Nath, Priyakumari Thankamony.


Abstract
We report here a 7-year girl with B-Acute Lymphoblastic Leukemia (ALL) on Berlin Frankfurt Munster (BFM) based induction chemotherapy who presented with fever, cough, and painful necrotic skin lesions simulating pseudomonas sepsis. The patient was eventually diagnosed with disseminated fusariosis. While on combination antifungal therapy, fever reappeared with pancytopenia and hepatosplenomegaly, and she was subsequently diagnosed with secondary Hemophagocytic lymphohistiocytosis (HLH) and was treated using the HLH 2004 protocol. The child responded to treatment well. This report highlights the high index of clinical suspicion, appropriate investigations needed to diagnose fusariosis and secondary HLH in pediatric oncology practice promptly, and the successful treatment outcome despite having them both. J Microbiol Infect Dis 2022; 11(2):69-73.


 
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How to Cite this Article
Pubmed Style

Nirmal G, Sojamani GC, Nair M, Nath SR, Thankamony P. Disseminated Fusariosis with Secondary Hemophagocytic Lymphohistiocytosis. J Microbiol Infect Dis. 2022; 12(2): 69-73 . doi:10.5799/jmid.1130139

Web Style

Nirmal G, Sojamani GC, Nair M, Nath SR, Thankamony P. Disseminated Fusariosis with Secondary Hemophagocytic Lymphohistiocytosis. https://www.jmidonline.org/?mno=302657273 [Access: January 09, 2025]. doi:10.5799/jmid.1130139

AMA (American Medical Association) Style

Nirmal G, Sojamani GC, Nair M, Nath SR, Thankamony P. Disseminated Fusariosis with Secondary Hemophagocytic Lymphohistiocytosis. J Microbiol Infect Dis. 2022; 12(2): 69-73 . doi:10.5799/jmid.1130139


Vancouver/ICMJE Style

Nirmal G, Sojamani GC, Nair M, Nath SR, Thankamony P. Disseminated Fusariosis with Secondary Hemophagocytic Lymphohistiocytosis. J Microbiol Infect Dis. (2022), [cited January 09, 2025]; 12(2): 69-73 . doi:10.5799/jmid.1130139


Harvard Style

Nirmal, G., Sojamani, . G. C., Nair, . M., Nath, . S. R. & Thankamony, . P. (2022) Disseminated Fusariosis with Secondary Hemophagocytic Lymphohistiocytosis. J Microbiol Infect Dis, 12 (2), 69-73 . doi:10.5799/jmid.1130139


Turabian Style

Nirmal, Garima, Guruprasad Chellappan Sojamani, Manjusha Nair, Swapna R Nath, and Priyakumari Thankamony. 2022. Disseminated Fusariosis with Secondary Hemophagocytic Lymphohistiocytosis. Journal of Microbiology and Infectious Diseases, 12 (2), 69-73 . doi:10.5799/jmid.1130139


Chicago Style

Nirmal, Garima, Guruprasad Chellappan Sojamani, Manjusha Nair, Swapna R Nath, and Priyakumari Thankamony. "Disseminated Fusariosis with Secondary Hemophagocytic Lymphohistiocytosis." Journal of Microbiology and Infectious Diseases 12 (2022), 69-73 . doi:10.5799/jmid.1130139


MLA (The Modern Language Association) Style

Nirmal, Garima, Guruprasad Chellappan Sojamani, Manjusha Nair, Swapna R Nath, and Priyakumari Thankamony. "Disseminated Fusariosis with Secondary Hemophagocytic Lymphohistiocytosis." Journal of Microbiology and Infectious Diseases 12.2 (2022), 69-73 . Print. doi:10.5799/jmid.1130139


APA (American Psychological Association) Style

Nirmal, G., Sojamani, . G. C., Nair, . M., Nath, . S. R. & Thankamony, . P. (2022) Disseminated Fusariosis with Secondary Hemophagocytic Lymphohistiocytosis. Journal of Microbiology and Infectious Diseases, 12 (2), 69-73 . doi:10.5799/jmid.1130139


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