A case of enteric fever complicated by hemophagocytic lymphohistiocytosis probably induced by ChAdOx1 nCoV-19 COVID-19 vaccine

Although enteric fever is a relatively common disease in countries mainly belonging to South Asia (incidence of around 100/100,000 persons per year) where there is poor hygiene, its complications in the form of hemophagocytic lymphohistiocytosis (HLH) are rare but have been documented before. Here,...

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Main Authors: Mathew Cherian, Siddhant Jeevan Thampi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Journal of Current Research in Scientific Medicine
Subjects:
Online Access:http://www.jcrsmed.org/article.asp?issn=2455-3069;year=2022;volume=8;issue=1;spage=81;epage=84;aulast=Cherian
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author Mathew Cherian
Siddhant Jeevan Thampi
author_facet Mathew Cherian
Siddhant Jeevan Thampi
author_sort Mathew Cherian
collection DOAJ
description Although enteric fever is a relatively common disease in countries mainly belonging to South Asia (incidence of around 100/100,000 persons per year) where there is poor hygiene, its complications in the form of hemophagocytic lymphohistiocytosis (HLH) are rare but have been documented before. Here, we present the case of a 19-year-old boy diagnosed with enteric fever with secondary HLH possibly induced by the COVID-19 vaccine (COVISHIELD ChAdOx1 nCoV-19 coronavirus vaccine [Recombinant]). Although there is no proof that the vaccine could have induced secondary HLH, its possibility cannot be ruled out simultaneously. Early identification and diagnosis of HLH are of extreme importance. If not treated correctly, mortality can reach up to 40%. In this article, we would like to press upon the clinical presentation, diagnosis, and management of such a case and the possibility of this presentation being induced by the COVID-19 vaccine.
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spelling doaj.art-3d60cde11ad54b309a420f7e4a447d2e2022-12-22T04:01:37ZengWolters Kluwer Medknow PublicationsJournal of Current Research in Scientific Medicine2455-30692022-01-0181818410.4103/jcrsm.jcrsm_94_21A case of enteric fever complicated by hemophagocytic lymphohistiocytosis probably induced by ChAdOx1 nCoV-19 COVID-19 vaccineMathew CherianSiddhant Jeevan ThampiAlthough enteric fever is a relatively common disease in countries mainly belonging to South Asia (incidence of around 100/100,000 persons per year) where there is poor hygiene, its complications in the form of hemophagocytic lymphohistiocytosis (HLH) are rare but have been documented before. Here, we present the case of a 19-year-old boy diagnosed with enteric fever with secondary HLH possibly induced by the COVID-19 vaccine (COVISHIELD ChAdOx1 nCoV-19 coronavirus vaccine [Recombinant]). Although there is no proof that the vaccine could have induced secondary HLH, its possibility cannot be ruled out simultaneously. Early identification and diagnosis of HLH are of extreme importance. If not treated correctly, mortality can reach up to 40%. In this article, we would like to press upon the clinical presentation, diagnosis, and management of such a case and the possibility of this presentation being induced by the COVID-19 vaccine.http://www.jcrsmed.org/article.asp?issn=2455-3069;year=2022;volume=8;issue=1;spage=81;epage=84;aulast=Cheriancovid-19 vaccineenteric feverhemophagocytic lymphohistiocytosis
spellingShingle Mathew Cherian
Siddhant Jeevan Thampi
A case of enteric fever complicated by hemophagocytic lymphohistiocytosis probably induced by ChAdOx1 nCoV-19 COVID-19 vaccine
Journal of Current Research in Scientific Medicine
covid-19 vaccine
enteric fever
hemophagocytic lymphohistiocytosis
title A case of enteric fever complicated by hemophagocytic lymphohistiocytosis probably induced by ChAdOx1 nCoV-19 COVID-19 vaccine
title_full A case of enteric fever complicated by hemophagocytic lymphohistiocytosis probably induced by ChAdOx1 nCoV-19 COVID-19 vaccine
title_fullStr A case of enteric fever complicated by hemophagocytic lymphohistiocytosis probably induced by ChAdOx1 nCoV-19 COVID-19 vaccine
title_full_unstemmed A case of enteric fever complicated by hemophagocytic lymphohistiocytosis probably induced by ChAdOx1 nCoV-19 COVID-19 vaccine
title_short A case of enteric fever complicated by hemophagocytic lymphohistiocytosis probably induced by ChAdOx1 nCoV-19 COVID-19 vaccine
title_sort case of enteric fever complicated by hemophagocytic lymphohistiocytosis probably induced by chadox1 ncov 19 covid 19 vaccine
topic covid-19 vaccine
enteric fever
hemophagocytic lymphohistiocytosis
url http://www.jcrsmed.org/article.asp?issn=2455-3069;year=2022;volume=8;issue=1;spage=81;epage=84;aulast=Cherian
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