PMC6800945_01
Epstein-Barr virus (EBV) viremia through days of admission. R = Rituximab administration at 375 mg/m2.
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fig1
EBV viremia was confirmed with a viral load of 2 million copies/mL (Figure 1).
Ferritin and total bilirubin throughout hospital course. Dex = dexamethasone administration; E = etoposide administration; ICE = ifosfamide, carboplatin, and etoposide administration.
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fig2
With dropping blood counts, triglycerides of 289 mg/dL and ferritin of 13,000 ng/mL (Figure 2), there was concern for hemophagocytic lymphohistiocytosis (HLH), and a marrow exam was performed along with a left inguinal lymph node biopsy.