DOI: 10.36347/sjmcr.2018.v06i12.014

Pages: 1050-1053

A 33-year-old man was struck by a car. Whole body computed tomography (CT) showed multiple injuries. After admission, he developed a high fever of unknown origin. He complicated with Enterobacter cloacae infection, following pulmonary and deep venous thrombosis in his right leg. Later, he was diagnosed with hemophagocytic lymphohistiocytosis (HLH). Finally, his general condition improved and he was transferred to a rehabilitation facility. This is the first report of a patient who developed pulmonary embolism followed by HLH as a complication of trauma. Overlapping enhanced inflammatory reactions caused by trauma, sepsis and PE may have induced HLH in the present case.