Review Article

Histoplasmosis-Associated Hemophagocytic Lymphohistiocytosis: A Review of the Literature

Table 3

Treatment and outcome of histoplasmosis-associated HLH patients at our institution (n = 5).

Case #Antifungal drugHLH specific treatmentOutcome (hospital discharge)

1Liposomal amphotericin B for 2 weeks, then itraconazole for 12 monthsNoneSurvived
2Liposomal amphotericin B for 4 weeks, then oral azoles for 4 yearsDexamethasone 10 mg/m2 for 2 daysSurvived
3Voriconazole PO (discharged to hospice, patient preference)NoneDischarged to hospice
4Liposomal amphotericin B for 2 weeks then itraconazole for 4 monthsDexamethasone 10 mg/m2Survived
5Liposomal amphotericin B for 2 weeks then oral azolesNoneDied (day 43)

Notes. BM: bone marrow, IL: interleukin, N/A: not applicable.