TY - JOUR TI - An unusual complication of hepatitis A: secondary hemophagocytic lymphohistiocytosis A1 - Muduli, Jayant Kumar A2 - Mitra, Meenakshi A3 - Agarwal, Shweta A4 - Rashmi, Supriya JF - European Journal of Medical Case Reports JO - EJMCR SN - 2520-4998 VL - 4 IS - 6 SP - 186 EP - 189 Y1 - 2020 AB - Background: Secondary hemophagocytic lymphohistiocytosis (HLH) is characterized by severe cytopenias due to uncontrolled hemophagocytosis. Other laboratory signs and clinical symptoms result from disordered immune regulation, and cytokine storm is well recognized. It is often a fatal complication of infections. It is not as uncommon as thought of previously.Case Presentation: We discuss a 7-year-old boy, born out of non-consanguineous marriage with acute hepatitis A infection, who developed HLH during treatment and was successfully managed with methyl prednisolone pulse therapy followed by oral prednisone therapy.Conclusion: Secondary HLH is a rare complication in a case of hepatitis A. A high index of suspicion at the early stage of HLH may produce a favorable outcome. PB - https://www.ejmcr.com DO - 10.24911/ejmcr/173-1563277232 UR - https://www.ejmcr.com/?mno=57239 ER -