A child with anorexia nervosa presenting with severe infection with cytopenia and hemophagocytosis: a case report
Abstract Background Patients with anorexia nervosa in the acute phase have physical complications, such as infectious disease. Although hemophagocytic syndrome due to infection is a rare complication in anorexia nervosa, early identification for hemophagocytosis is important for avoiding a life-thre...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2017-09-01
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| Series: | BioPsychoSocial Medicine |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13030-017-0108-6 |
| _version_ | 1828484113447780352 |
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| author | Masao Suda Shinichiro Nagamitsu Masahiro Kinosita Michiko Matsuoka Shuichi Ozono Yasushi Otsu Yushiro Yamashita Toyojiro Matsuishi |
| author_facet | Masao Suda Shinichiro Nagamitsu Masahiro Kinosita Michiko Matsuoka Shuichi Ozono Yasushi Otsu Yushiro Yamashita Toyojiro Matsuishi |
| author_sort | Masao Suda |
| collection | DOAJ |
| description | Abstract Background Patients with anorexia nervosa in the acute phase have physical complications, such as infectious disease. Although hemophagocytic syndrome due to infection is a rare complication in anorexia nervosa, early identification for hemophagocytosis is important for avoiding a life-threatening condition. Case presentation We report a case of a 12-year-old girl with anorexia nervosa presenting with infection with cytopenia and hemophagocytosis during initial nutritional therapy. She developed pyrexia, abdominal pain, and diarrhea during inpatient treatment. Although intravenous antibiotics were administered, the symptoms persisted. Acinetobacter baumannii was detected in blood culture. Hemophagocytosis was present in the bone marrow. Gamma globulin therapy was effective, with improvement in symptoms and cytopenia. Conclusions Although our case did not fulfill the criteria of hemophagocytic syndrome, clinicians should consider severe infection in anorexia nervosa with cytopenia and hemophagocytosis. |
| first_indexed | 2024-12-11T08:50:18Z |
| format | Article |
| id | doaj.art-7635e864d49b4ecb875b2cf530c47c67 |
| institution | Directory Open Access Journal |
| issn | 1751-0759 |
| language | English |
| last_indexed | 2024-12-11T08:50:18Z |
| publishDate | 2017-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BioPsychoSocial Medicine |
| spelling | doaj.art-7635e864d49b4ecb875b2cf530c47c672022-12-22T01:14:01ZengBMCBioPsychoSocial Medicine1751-07592017-09-011111410.1186/s13030-017-0108-6A child with anorexia nervosa presenting with severe infection with cytopenia and hemophagocytosis: a case reportMasao Suda0Shinichiro Nagamitsu1Masahiro Kinosita2Michiko Matsuoka3Shuichi Ozono4Yasushi Otsu5Yushiro Yamashita6Toyojiro Matsuishi7Department of Pediatrics and Child Health, Kurume University School of MedicineDepartment of Pediatrics and Child Health, Kurume University School of MedicineDepartment of Pediatrics and Child Health, Kurume University School of MedicineDepartment of Psychiatry, Kurume University School of MedicineDepartment of Pediatrics and Child Health, Kurume University School of MedicineDepartment of Pediatrics and Child Health, Kurume University School of MedicineDepartment of Pediatrics and Child Health, Kurume University School of MedicineDepartment of Pediatrics and Child Health, Kurume University School of MedicineAbstract Background Patients with anorexia nervosa in the acute phase have physical complications, such as infectious disease. Although hemophagocytic syndrome due to infection is a rare complication in anorexia nervosa, early identification for hemophagocytosis is important for avoiding a life-threatening condition. Case presentation We report a case of a 12-year-old girl with anorexia nervosa presenting with infection with cytopenia and hemophagocytosis during initial nutritional therapy. She developed pyrexia, abdominal pain, and diarrhea during inpatient treatment. Although intravenous antibiotics were administered, the symptoms persisted. Acinetobacter baumannii was detected in blood culture. Hemophagocytosis was present in the bone marrow. Gamma globulin therapy was effective, with improvement in symptoms and cytopenia. Conclusions Although our case did not fulfill the criteria of hemophagocytic syndrome, clinicians should consider severe infection in anorexia nervosa with cytopenia and hemophagocytosis.http://link.springer.com/article/10.1186/s13030-017-0108-6Anorexia nervosaSevere infectionHemophagocytosisAcinetobacter baumannii |
| spellingShingle | Masao Suda Shinichiro Nagamitsu Masahiro Kinosita Michiko Matsuoka Shuichi Ozono Yasushi Otsu Yushiro Yamashita Toyojiro Matsuishi A child with anorexia nervosa presenting with severe infection with cytopenia and hemophagocytosis: a case report BioPsychoSocial Medicine Anorexia nervosa Severe infection Hemophagocytosis Acinetobacter baumannii |
| title | A child with anorexia nervosa presenting with severe infection with cytopenia and hemophagocytosis: a case report |
| title_full | A child with anorexia nervosa presenting with severe infection with cytopenia and hemophagocytosis: a case report |
| title_fullStr | A child with anorexia nervosa presenting with severe infection with cytopenia and hemophagocytosis: a case report |
| title_full_unstemmed | A child with anorexia nervosa presenting with severe infection with cytopenia and hemophagocytosis: a case report |
| title_short | A child with anorexia nervosa presenting with severe infection with cytopenia and hemophagocytosis: a case report |
| title_sort | child with anorexia nervosa presenting with severe infection with cytopenia and hemophagocytosis a case report |
| topic | Anorexia nervosa Severe infection Hemophagocytosis Acinetobacter baumannii |
| url | http://link.springer.com/article/10.1186/s13030-017-0108-6 |
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