HLH in adults is characterized by fever, cytopenias, hepatosplenomegaly and hyperferritinemia, and carries a high mortality rate [1, 2]. It can occur secondary to infections, autoimmune diseases or malignancies, most commonly of haematological origin [1, 2]. Early identification of the underlying trigger is critical, but the sepsis-like presentation often delays diagnosis and worsens outcomes [3].
Between 15-Jun-2012 and 25-Sep-2018, 19 patients were recruited, 13 into phase I and 6 into phase II, of whom three in phase I did not start treatment and were not included in the final analysis (Fig. 1). Patient baseline characteristics of those who started treatment are described in Table 1. Median age was 44 years (range 33, 63) with 15/16 (94%) male, 13/16 (81%) performance status 0, and a median time from HIV diagnosis of 5.1 years (range 0.9, 25.4).
Keywords solid organ transplant graft-related infection primary infection post-transplant Kaposi Sarcoma KSHV HHV8 Introduction Infection is a leading cause of increased morbidity and mortality in solid organ transplant recipients (SOTRs), and the long-term risk of malignancy is also significantly higher in this population.
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