Hyperferritinemic sepsis secondary to invasive Toxoplasma gondii in a child with untreated HIV

Background: Untreated human immunodeficiency virus (HIV)-immunosuppressed pediatric patients show high morbidity and mortality from opportunistic infections. Limited cases of hyperferritinemic sepsis have been described in patients with toxoplasmosis.

Case report: We describe the case of a 13-year-old female patient with a history of untreated HIV who presented with hyperferritinemic sepsis secondary to Toxoplasma gondii infection and Pneumocystis jirovecci pneumonia. She received ventilatory support, inotropic drugs, treatment for opportunistic germs, and high-dose corticosteroids, but with unfavorable evolution.

Conclusions: The global approach to sepsis with elevated ferritin guides to using of therapies aimed at neutralizing the severe inflammatory response. A timely diagnosis would allow prompt treatment and minimize complications.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - year:2023

Enthalten in:

Boletin medico del Hospital Infantil de Mexico - (2023) vom: 14. März

Sprache:

Englisch

Beteiligte Personen:

Domínguez-Rojas, Jesús [VerfasserIn]
Caute-Lara, Jackeline [VerfasserIn]
Caqui-Vilca, Patrick [VerfasserIn]
Cruz-Arpi, Mario [VerfasserIn]
Martel-Ramírez, Carlos [VerfasserIn]
Quispe-Chipana, Miguel [VerfasserIn]
Sánchez-Rodríguez, Abel [VerfasserIn]
Atamari-Anahui, Noé [VerfasserIn]

Links:

Volltext

Themen:

Child
Ferritin
Hemophagocytic
Human immunodeficiency virus
Journal Article
Lymphohistiocytosis
Sepsis

Anmerkungen:

Date Revised 14.03.2023

published: Print-Electronic

Citation Status Publisher

doi:

10.24875/BMHIM.22000051

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM354233599