Haemophagocytic lymphohistiocytosis (HLH) is an under- recognised syndrome. We present a case of a Somalian male with haemophagocytic lymphohistiocytosis triggered by Epstein-Barr virus and Mycobacterium tuberculosis. HLH can be triggered by many different acute primary infections or by reactivation of chronic infections. Lessons learned from this case include the value of awareness of HLH including the criteria, symptoms and triggers of this syndrome.
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