{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:20:57Z","timestamp":1787840457767,"version":"build-2784847793"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 2","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:p>We present a case of a 54-year-old male, with newly detected HIV with low CD4 counts, diagnosed with hemophagocytic lymphohistiocytosis secondary to disseminated histoplasmosis. The history of his high-risk sexual behavior, fever, and pancytopenia led to clinical suspicion of HIV which was confirmed on serology. Hemophagocytosis was detected on bone marrow aspiration cytology and histoplasmosis was diagnosed on ultrasound-guided fine needle aspiration cytology of cervical lymph nodes. Timely interference of antiretroviral therapy (ART), antifungals, and identification of HLH lead to recovery of the patient.<\/jats:p>","DOI":"10.4103\/jpbs.jpbs_1735_24","type":"journal-article","created":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T01:02:33Z","timestamp":1750208553000},"page":"S1994-S1997","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Hemophagocytic Lymphohistiocytosis and Disseminated Histoplasmosis in an HIV Patient"],"prefix":"10.4103","volume":"17","author":[{"given":"Sahil","family":"Ahmad","sequence":"first","affiliation":[{"name":"Department of General Medicine, Kasturba Medical College, Manipal Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siddharth","family":"Gosavi","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Kasturba Medical College, Manipal Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raviraja V.","family":"Acharya","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Kasturba Medical College, Manipal Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muralidhar","family":"Varma","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Kasturba Medical College, Manipal Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,6,18]]},"reference":[{"key":"R1-20250618","doi-asserted-by":"crossref","first-page":"ofac071","DOI":"10.1093\/ofid\/ofac071","article-title":"A review of hemophagocytic lymphohistiocytosis in patients with HIV","volume":"9","author":"Tabaja","year":"2022","journal-title":"Open Forum Infect 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Rep"},{"key":"R8-20250618","doi-asserted-by":"crossref","first-page":"574584","DOI":"10.3389\/fcimb.2020.574584","article-title":"Hemophagocytic lymphohistiocytosis during HIV infection in cayenne hospital 2012-2015: First think histoplasmosis","volume":"10","author":"Nguyen","year":"2020","journal-title":"Front Cell Infect Microbiol"},{"key":"R9-20250618","doi-asserted-by":"crossref","first-page":"ofae385","DOI":"10.1093\/ofid\/ofae385","article-title":"Clinical and biochemical characteristics of hemophagocytic lymphohistiocytosis in people living with HIV and disseminated histoplasmosis at a tertiary hospital in Mexico","volume":"11","author":"Cruz-Quezada","year":"2024","journal-title":"Open Forum Infect Dis"},{"key":"R10-20250618","doi-asserted-by":"crossref","first-page":"1418530","DOI":"10.3389\/fmicb.2024.1418530","article-title":"Histoplasmosis in patients living with HIV in Europe: review of literature","volume":"15","author":"Kontogiannis","year":"2024","journal-title":"Front 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