Case Report

Virus-Associated Hemophagocytic Syndrome in Renal Transplant Recipients: Report of 2 Cases from a Single Center

Table 1

Changes in laboratory findings of Case 2.

Normal rangeReadmissionOnsetAfter 7 daysAfter 1 month

WBC (cells/L)4500–85009005200 18800 6700
Hb (g/dL)14.0–18.05.18.5 8.9 9.4
Plt (×104 cells/L)13.0–40.09.611.6 13.4 15.3

Cr (mg/dL)0.80–1.301.012.46 2.10 0.80
K (mEq/L)3.6–5.04.27.1 4.8 4.0
AST (IU/L)10–40132128 57 23
ALT (IU/L)4–44251606 525 37
LDH (IU/L)107–2451925256 465 371

Ferritin (ng/mL)16–27527011357 704 252
sIL-2R (U/mL)145–5196320 4170
2-MG (mg/L)0.8–2.53.9
IL-6 (pg/mL)0–49.6
IL-10 (pg/mL)0–7.0518.0
TNF- (pg/mL)0–1.793.2

“Onset” means 8 days after readmission due to rotavirus enteritis. WBC, white blood cells; Hb, hemoglobin; Plt, platelets; Cr, creatinine; K, potassium; AST, alanine aminotransferase; ALT, alanine aminotransferase; LDH, lactate dehydrogenase; sIL-2R, soluble interleukin-2 receptor; 2-MG, 2-microglobulin; IL, interleukin; TNF-, tumor necrosis factor-.