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Table 2 Published cases of NTM infection complicated with HPS

From: Nontuberculous Mycobacterium infection complicated with Haemophagocytic syndrome: a case report and literature review

 

Author Country Year

Sex/Age

Symptoms

Cause of NTM infection

Method

Infection location

Underlying disease

Treatment

Prognosis

BM pathology showing granuloma

1

D. Har/USA, 2017 [12]

M/58

Fever, night sweats, wt loss

M. kansasii

Spleen biopsy culture

Isolated spleen lesion

Sweet’s syndrome, adalimub (2 years)

Dexamethasone, etoposide, RIPE

Death

Not mentioned

2

Chou/PRC, 2010 [13]

F/60

Fever, postprandial nausea, vomiting

M. kansasii

BM culture, liver biopsy culture

Disseminated

Femoral sarcoma (5 months later)

Methylprednisolone, IVIG, RIPE, azithromycin

Recovery

Yes

3

Thomas/France 2014 [14]

M/65

Fever, wt loss, diarrhoea

M. lentiflavum

Blood culture, faecal culture, BALF, liver autopsy

Disseminated

Heart transplantation, tacrolimus+MMF

Prednisone, CsA, MMF; rifabutin, ethambutol, clarithromycin, amikacin

Death

Yes

4

Ordaya/USA, 2017 [15]

F/26

Fever, fatigue, sore throat

M. avium complex

Blood culture

Disseminated

ALL in remission

Dexamethasone, etoposide, rifabutin, ethambutol, clarithromycin

Recovery (stop transplantation)

Yes

5

Hilmers/USA, 2013 [16]

M/40

Fever

M. avium complex

Blood culture, BALF, BM culture

Disseminated

AIDS, HAART (3 weeks, histoplasmosis)

Azithromycin, ethambutol, rifabutin, antifungal, HAART

Recovery

Not mentioned

6

Chamsi-Pasha/USA, 2013 [17]

F/22

Fever, night sweats, wt loss

M. avium complex

Lung biopsy culture, blood culture, BM culture

Disseminated

Sickle cell anaemia

Azithromycin, ethambutol, rifampin, methylprednisolone, anakinra

Death

Yes

7

Yang/PRC, 2003 [18]

F/15

Fever, lethargy

M. avium complex

Gastric lavage

Disseminated

SLE (prednisone +HCQ)

IVIG, etoposide; clarithromycin, ciproflaxcin, amikacin

Recovery

Yes

8

Lapierre/France, 2017 [19]

M/55

Fever, wt loss

M. iranicum (multidrug-resistant)

Blood culture

Disseminated

Hodgkin’s disease (at the same time)

Corticosteroid, BEACOPP

Recovery

Not mentioned

9

M.I/Japan, 2018 [20]

M/14

Fever, wt loss

M. kansasii

Blood culture, BM culture

Disseminated

MDS (3 years), GATA2 heterozygous mutation

Prednisone, etoposide, CsA, RIPE, transplant

Recovery

No

10

Katagiri/Japan, 2014 [21]

M/58

Fever, rash

M. abscessus

Blood culture, skin

Disseminated

CLL (prednisone +CTX)

Imipenem, amikacin, clarithromycin, levofloxacin, IVIG

Recovery

No

11

Our case

F/21

Fever, night sweats, fatigue

M. intracellulare

Blood culture, lymph node

Disseminated

No

Clarithromycin, rifampicin, ethambutol, amikacin, prednisone

Recovery

No

  1. BM: Bone marrow; wt: weight; R: rifampin; I: isoniazid; P: pyramide, E: ethambutol; IVIG: intravenous immunoglobin; BALF: bronchoalveolar lavage fluid; MMF: mycophenolate; CsA: cyclosporin A; HAART: highly active antiretroviral therapy; BEACOPP: bleomycin, etoposide, adriamycin, cyclophosphamide, oncovorin, procarbazine and prednisone; MDS: myelodysplastic syndromes; GATA2: GATA-binding factor 2 gene; CLL: chronic lymphocytic leukaemia