Case Report

Disseminated Mycobacterium tuberculosis: An Unusual Presentation with Associated Hemophagocytic Lymphohistiocytosis

Table 2

H Score criteria [14].

ParameterStatusScore

Known underlying immunosuppressionNo0
Yes18

OrganomegalyNo0
Hepatomegaly or splenomegaly+23
Hepatomegaly and splenomegaly+38

Number of cytopenias1 lineage0
2 lineages+24
3 lineages+34

Ferritin, ng/mL (or μg/L)<2000 = 00
2000–6000+35
>6000+50

Triglyceride, mg/dL (mmol/L)<132.7 (<1.5)0
132.7–354 (1.5–4)+44
>354 (>4)+64

Fibrinogen, mg/dL (g/L)>250 (>2.5)0
<250 (<2.5)+30

AST, U/L<300
>30+19

Temperature, °F (°C)<101.1 (38.4)0
101.1–102.9 (38.4–39.4)+33
>102.9 (>39.4)+49

Hemophagocytosis in bone marrow aspirateNo0
Yes+35