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Non-fatal haemophagocytic syndrome in an elderly patient
Roy L Soiza1, Sharmistha Ghosh, J Kenneth McAlpine
1Department of Medicine for the Elderly, Woodend Hospital, Aberdeen AB15 6LS, UK. roysoiza@doctors.org.uk
Abstract:
A frail 78-year-old man presented with lethargy, fever, splenomegaly and pancytopenia. Bone marrow aspirate showed marked haemophagocytosis. A diagnosis of haemophagocytic syndrome secondary to diffuse splenic large B-cell lymphoma was eventually made. Treatment with laparascopic splenectomy was successful. Secondary haemophagocytic syndrome is a rare complication of many common conditions, and is fatal if untreated. A brief literature review is included.