Enteric fever complicated by hemophagocytic lymphohistiocytosis: an unusual case report

Abstract

We report the case of a 15-year-old girl with enteric fever, a common infectious disease in developing countries, who presented with multiple unusual complications including pancreatitis, myocarditis and thrombocytopenia in the first week and who developed secondary hemophagocytic lymphohistiocytosis, a clinical masquerade, secondary to Salmonella typhi infection. The patient recovered completely with appropriate antibiotics, intravenous steroids and supportive treatment, with complete resolution of the symptoms.