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  • Title: Hemophagocytic lymphohistiocytosis secondary to Epstein Barr virus and Leishmania co-infection in a toddler.
    Author: DomInguez-Pinilla N, Baro-Fernández M, González-Granado LI.
    Journal: J Postgrad Med; 2015; 61(1):44-5. PubMed ID: 25511219.
    Abstract:
    This is the report of an EBV+Leishmanial co-infection. The patient developed hemophagocytic syndrome (HLH) and was treated with the standard HLH-2004 protocol. However, PCR in bone marrow discovered this secondary cause for HLH. In endemic countries, visceral leishmaniasis should be considered in the differential diagnosis even in EBV-related HLH, as chemotherapy toxicity may be avoided.
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