Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Secondary Hemophagocytic Syndrome in a Patient with Methicillinsensitive Staphylococcus Aureus Bacteremia due to Severe Decubitus Ulcer
Shigenori Ito, Norio Takada, Atsushi Ozasa, Mayumi Hanada, Masaya Sugiyama, Kaoru Suzuki, Yuji Nagae, Toshiaki Inagaki, Yayoi Suzuki, Hirokazu Komatsu
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Keywords: bacteremia, pancytopenia, poliomyelitis, hemophagocytosis, methicillinsensitive Staphylococcus aureus, decubitus ulcer
JOURNAL OPEN ACCESS

2006 Volume 45 Issue 5 Pages 303-307

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Abstract

A 51yearold man with poliomyelitis was admitted to emergency because of a severe decubitus ulcer on his right hip that was associated with infection. His general condition deteriorated and he was malnourished and dehydrated. Despite adequate hyperalimentation and antibiotic administration, laboratory data indicated pancytopenia 4 days later. He was diagnosed as having secondary hemophagocytosis (HPS) associated with methicillinsensitive Staphylococcus aureus sepsis due to decubitus inflammation based on bone marrow aspiration and a blood culture. Although granulocyte colony stimulating factor, packed red blood cell transfusions, platelet transfusions, and antibiotics gradually improved the pancytopenia, the patient died of massive gastrointestinal tract bleeding.

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© 2006 by The Japanese Society of Internal Medicine
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