Related Experiment Video
Updated: Feb 16, 2026

Using Bioluminescent Imaging to Investigate Synergism Between Streptococcus pneumoniae and Influenza A Virus in Infant Mice
Published on: April 14, 2011
Influenza B Virus Triggering Macrophage Activation Syndrome in an Infant
K Jayashree1, Suchetha Rao1, Nutan Kamath1
1Department of Pediatrics, Kasturba Medical College, Manipal University, Mangalore, Karnataka, India.
Abstract:
Macrophage activation syndrome (MAS) is a potentially fatal complication caused by excessive activation and expansion of macrophages and T lymphocytes. It can be triggered by various infections and is characterized by the development of cytopenias, hyperferritinemia, liver dysfunction, and coagulopathy. We report a 10-month-old female infant with fever, convulsions, and hepatosplenomegaly. Laboratory data of bicytopenia, low erythrocyte sedimentation rate, and elevated liver enzymes suggested MAS. This was supported by the presence of hyperferritinemia with hypertriglyceridemia. MAS was triggered by influenza B virus. She responded to treatment with immunoglobulin and steroid.
Insights
Macrophage activation syndrome (MAS), a severe condition, was diagnosed in an infant triggered by influenza B. Prompt treatment with immunoglobulin and steroids led to a positive response.
Area of Science:
- Pediatrics
- Immunology
- Hematology
Background:
- Macrophage activation syndrome (MAS) is a life-threatening hyperinflammatory condition.
- MAS results from uncontrolled T-lymphocyte and macrophage activation, leading to multi-organ damage.
- Key clinical features include fever, hepatosplenomegaly, cytopenias, liver dysfunction, and coagulopathy.
Observation:
- A 10-month-old infant presented with fever, seizures, and enlarged liver and spleen.
- Initial laboratory findings included bicytopenia, elevated liver enzymes, and low erythrocyte sedimentation rate.
- Hyperferritinemia and hypertriglyceridemia were noted, strongly suggesting MAS.
Findings:
- Influenza B virus infection was identified as the trigger for MAS in this infant.
- The patient exhibited characteristic laboratory markers of MAS, including significant hyperferritinemia.
- Successful treatment involved intravenous immunoglobulin and corticosteroid therapy.
Implications:
- This case highlights influenza B as a potential MAS trigger in infants.
- Early recognition and prompt treatment with immunotherapy are crucial for MAS management.
- Understanding MAS pathogenesis is vital for developing targeted therapies in pediatric critical care.
Related Concept Videos
What are Viruses?
Drug Dosing: Infants and Children
Nephrotic Syndrome I : Introduction
Acute Coronary Syndrome I: Introduction
Irritable Bowel Syndrome I: Introduction
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
Introduction to Virus

