case_images: PMC6800945_01
case_images: Epstein-Barr virus (EBV) viremia through days of admission. R = Rituximab administration at 375 mg/m2.
case_images: CRIHEM2019-7962485.001.jpg
case_images: PMC6800945_01_CRIHEM2019-7962485.001.jpg
case_images: fig1
case_images: EBV viremia was confirmed with a viral load of 2 million copies/mL (Figure 1).
case_images: Ferritin and total bilirubin throughout hospital course. Dex = dexamethasone administration; E = etoposide administration; ICE = ifosfamide, carboplatin, and etoposide administration.
case_images: CRIHEM2019-7962485.002.jpg
case_images: PMC6800945_01_CRIHEM2019-7962485.002.jpg
case_images: fig2
case_images: 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.