Acute Brucellosis with Typical Hemophagocytic Lymphohistiocytosis Accompanying Elevated Tumor Markers
Author(s):
Xiuyun Yin * , Yuhang Li * , Lijun Zeng , Nong Yu , Shiping Song , Wei Zhang , Jiankui Chen , Jun Wang , Liangding Hu , Shuiping Chen
Abstract:
We reported a typical brucellosis, which was diagnosed as hemophagocytic lymphohistiocytosis (HLH). Although some tumor markers (CEA, CYFRA21-1, NSE, CA19-9) in the patient’s serum were elevated, carcinomas were excluded by a variety of inspections including bone marrow aspirations, ultrasound examinations, and whole-body PET-CT scans. It was concluded that serum tumor markers are considered medically necessary as a screening test for brucellosis with HLH, however, detailed inspections were needed to make a final diagnosis. Moreover, combination of epidemiology investigations and laboratory inspections were helpful to determine the etiology of HLH and initiate the corresponding treatments
Keywords:
Language:
English
Published:
Archives of Iranian Medicine, Volume:17 Issue: 10, Oct 2014
Page:
722
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