21 March 2023
: Case report 
Perioperative Management of Recurrent Hemophagocytic Syndrome in a Pregnant Woman: A Case Report
Challenging differential diagnosis, Management of emergency care, Patient complains / malpractice, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)
Ayako SumiiABEF, Hirotsugu Miyoshi
ADEF, Takahiro Kato BE, Sachiko OtsukiABE, Yousuke T. HorikawaAE, Shiho SatomiABD, Noboru SaekiBF, Yusuke YoshidaEF, Yasuo M. Tsutsumi AE
DOI: 10.12659/AJCR.939369
Am J Case Rep 2023; 24:e939369
Figure 2. Patient presentation and treatment course during the second pregnancy. The patient presented with fever and elevated ferritin (3483.2 ng/ml) at 35 weeks of gestation and was diagnosed with recurrent HPS and scheduled for cesarean section at 36 weeks of gestation. Postoperatively, anemia with Hb 7.3 g/dl and decreased platelets (126 000/µl) were observed, but with follow-up, they improved on the 5th postoperative day, and no coagulopathy or liver dysfunction was observed. Ferritin showed a decreasing trend after delivery, and at 2 months postoperatively it was elevated but stable at 508 ng/ml.