Yin J A, Kumaran T O, Marsh G W, Rossiter M, Catovsky D
Cancer. 1983 Jan 15;51(2):200-2. doi: 10.1002/1097-0142(19830115)51:2<200::aid-cncr2820510204>3.0.co;2-c.
A 6-year-old boy with acute lymphoblastic leukemia (ALL) developed a haemophagocytic syndrome resembling histiocytic medullary reticulosis (HMR) but made a complete recovery on supportive treatment. This was subsequently found to have been associated with a parainfluenzal infection. It is suggested that HMR in immunocompromised hosts may represent a reactive process to an opportunistic viral infection and that the use of chemotherapy in these patients may be deleterious.
一名6岁急性淋巴细胞白血病(ALL)男孩发生了类似组织细胞性髓性网状细胞增生症(HMR)的噬血细胞综合征,但经支持治疗后完全康复。随后发现这与副流感病毒感染有关。提示免疫功能低下宿主中的HMR可能是对机会性病毒感染的一种反应性过程,且在这些患者中使用化疗可能有害。