{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:40:17Z","timestamp":1786653617500,"version":"build-2736575974"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>This is the report of an EBV + Leishmanial co-infection. The patient developed hemophagocytic syndrome (HLH) and was treated with the standard HLH-2004 protocol. However, PCR in bone marrow discovered this secondary cause for HLH. In endemic countries, visceral leishmaniasis should be considered in the differential diagnosis even in EBV-related HLH, as chemotherapy toxicity may be avoided.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/0022-3859.147052","type":"journal-article","created":{"date-parts":[[2014,12,15]],"date-time":"2014-12-15T07:14:10Z","timestamp":1418627650000},"page":"44-45","source":"Crossref","is-referenced-by-count":13,"title":["Hemophagocytic lymphohistiocytosis secondary to Epstein Barr virus and Leishmania co-infection in a toddler"],"prefix":"10.4103","volume":"61","author":[{"given":"N","family":"Dom\u00ednguez-Pinilla","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Baro-Fern\u00e1ndez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"LI","family":"Gonz\u00e1lez-Granado","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-11-20240205","doi-asserted-by":"crossref","first-page":"943","DOI":"10.1097\/00007611-198708000-00003","article-title":"Epstein-Barr virus: The spectrum of its manifestations in human beings","volume":"80","author":"Purtilo","year":"1987","journal-title":"South Med J"},{"key":"R2-11-20240205","doi-asserted-by":"crossref","first-page":"S185","DOI":"10.1016\/S0035-9203(02)90074-X","article-title":"A nested polymerase chain reaction (Ln-PCR) for diagnosing and monitoring Leishmania infantum infection in patients co-infected with human immunodeficiency virus Original Research Article","volume":"96","author":"Cruz","year":"2002","journal-title":"Trans R Soc Trop Med Hyg"},{"key":"R3-11-20240205","doi-asserted-by":"crossref","first-page":"1253","DOI":"10.1016\/j.jpeds.2013.06.053","article-title":"Hemophagocytic Lymphohistiocytosis: Advances in Pathophysiology, Diagnosis, and Treatment","volume":"163","author":"Chandrakasan","year":"2013","journal-title":"J Pediatr"},{"key":"R4-11-20240205","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1002\/(SICI)1096-911X(199705)28:5<342::AID-MPO3>3.0.CO;2-H","article-title":"HLH-94: A treatment protocol for hemophagocytic lymphohistiocytosis. HLH study Group of the Histiocyte Society","volume":"28","author":"Henter","year":"1997","journal-title":"Med Pediatr Oncol"},{"key":"R5-11-20240205","first-page":"256","article-title":"Treatment choice of immunotherapy or further chemotherapy for Epstein-Barr virus-associated hemophagocytic lymphohistiocytosis","volume":"59","author":"Shirashi","year":"2012","journal-title":"Pediatr Blood Cancer"},{"key":"R6-11-20240205","doi-asserted-by":"crossref","first-page":"704","DOI":"10.1097\/MPH.0b013e31816916f6","article-title":"Hemophagocytic lymphohistiocytosis associated with epstein barr virus and Leishmania donovani Coinfection in a Child From Cyprus","volume":"30","author":"Koliou","year":"2008","journal-title":"J Pediatr Hematol Oncol"}],"container-title":["Journal of Postgraduate Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/00005257-201561010-00011","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:40:05Z","timestamp":1786650005000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/00005257-201561010-00011"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015]]},"references-count":6,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2015]]}},"URL":"https:\/\/doi.org\/10.4103\/0022-3859.147052","relation":{},"ISSN":["0022-3859"],"issn-type":[{"value":"0022-3859","type":"print"}],"subject":[],"published":{"date-parts":[[2015]]}}}