Corticosteroids for Haemophagocytic Lymphohistiocytosis Secondary to Typhoid Fever: A Case Report

Abstract

Unlike haemophagocytic lymphohistiocytosis (HLH) induced by tuberculosis or rickettsial disease, there is no consensus for the treatment of HLH secondary to typhoid fever (Salmonella Typhi). After a short illustrative example, we searched among the previously described cases of HLH secondary to typhoid fever to determine: (i) Is the specific treatment of HLH mandatory; and (ii) which option to choose between corticosteroids and intravenous immunoglobulins in association with antibiotherapy?