Abstract
Hemophagocytic lymphohistiocytosis(HLH) is a heterogeneous group of clinical syndromes, either familial or genetic in origin or secondary, characterised by uncontrolled non-malignant proliferation of Tlymphocytes, histiocytes and macrophages leading to a cytokine stomi and manifest as prolonged fever, organomegaly, cytopenia. hyperferritenemia and demonstrable hemophagocytosis in the bone marrow. Secondary infection associated HLH(IAHLH) can be triggered by many infections, mostly viral. Here we present a case of Pulmonary tuberculosis complicated by ARDS and HLH.
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