SHM Converge Scientific Abstract ePoster Gallery-Hemophagocytic Lymphohistiocytosis Due to Previous Sars-Cov-2 Infection

Pdf Summary

The document describes a case of hemophagocytic lymphohistiocytosis (HLH) associated with COVID-19. It highlights how HLH and severe COVID-19 can look similar, which may delay diagnosis. In this case, an elevated ferritin level led to further testing and the diagnosis of HLH. Additional workup found no infectious or malignancy-related cause. <br /><br />The patient was treated with steroids and improved immediately. The discussion emphasizes that HLH should be considered in patients with current or recent COVID-19 infection who continue to have symptoms or develop multi-organ failure. <br /><br />The document also includes an HScore evaluation, which is used to estimate the likelihood of HLH. It notes that an HScore of 169 has high diagnostic sensitivity and specificity for HLH, and the patient’s total score was reported as 244, strongly supporting the diagnosis.

Asset Subtitle

Madison L. Paul

Meta Tag

Author List Alejandro Chapa-Rodriquez, Madison L. Paul, Puranchander R. Vangala, Ryan Coffey

Category Clinical Vignettes

Concept Hemophagocytic Lymphohistiocytosis

Concept H-score

Concept Severe COVID-19

Concept Ferritin

Concept Steroid Treatment

Distinguished Non-Finalist

Presenter Organization Madigan Family Medicine Residency/Joint Base Lewis McChord/Us Army

Presenting Author Madison L. Paul

Track Adult

Keywords

hemophagocytic lymphohistiocytosis

HLH

COVID-19

ferritin

HScore

multi-organ failure

steroids

diagnosis

hyperinflammation

case report

Hemophagocytic Lymphohistiocytosis

H-score

Severe COVID-19

Ferritin

Steroid Treatment