The official interpretation of the patient's condition was that of non-specific changes. An additional BM biopsy with aspiration was performed, again indicating severe hemophagocytosis. The patient was treated again with cyclosporine 5 mg/kg, solumedrol 1 g for three days and mycophenolate mofetil 500 mg three times daily. With this treatment the clinical conditions and the laboratory tests of the patient improved and she was discharged with the treatment of oral prednisone, cyclosporine and mycophenolate mofetil.