ANCA Vasculitis and Hemophagocytic Lymphohistiocytosis following a Fecal Microbiota Transplant
Joint Authors
Amlani, Adam
Bromley, Amy
Fifi-Mah, Aurore
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-02-18
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
A 69-year-old female with antisynthetase syndrome, a history of multiple recurrent infections, and documented previous negative titres for anti-neutrophil cystoplasmic antibody (ANCA) suddenly developed a de novo MPO-ANCA-associated glomerulonephritis three weeks after a fecal microbiota transplantation (FMT) for recurrent Clostridium difficile infections.
Six months following her FMT and less than two weeks following treatment for urosepsis, she developed severe cholestasis, a markedly elevated ferritin and hypertriglyceridemia.
An initial liver biopsy was suggestive of drug-induced liver injury and thus she was treated with supportive care.
After she failed to improve, a second liver biopsy supported the diagnosis of hemophagocytic lymphohistiocytosis (HLH).
This case highlights difficulties surrounding the early diagnosis of HLH and also questions the role of FMT and/or recurrent infections as a trigger for ANCA-associated vasculitis.
American Psychological Association (APA)
Amlani, Adam& Bromley, Amy& Fifi-Mah, Aurore. 2018. ANCA Vasculitis and Hemophagocytic Lymphohistiocytosis following a Fecal Microbiota Transplant. Case Reports in Rheumatology،Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1149902
Modern Language Association (MLA)
Amlani, Adam…[et al.]. ANCA Vasculitis and Hemophagocytic Lymphohistiocytosis following a Fecal Microbiota Transplant. Case Reports in Rheumatology No. 2018 (2018), pp.1-3.
https://search.emarefa.net/detail/BIM-1149902
American Medical Association (AMA)
Amlani, Adam& Bromley, Amy& Fifi-Mah, Aurore. ANCA Vasculitis and Hemophagocytic Lymphohistiocytosis following a Fecal Microbiota Transplant. Case Reports in Rheumatology. 2018. Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1149902
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1149902