Transaminases showed a twofold increase (AST 74 IU/l, ALT 87 IU/l) with normal bilirubin levels and normal renal function tests. Based on the fulfilment of 6/8 HLH-2004 criteria, namely fever, splenomegaly, cytopenias, hypertriglyceridemia, hyperferritinemia and bone marrow findings, a diagnosis of Haemophagocytic syndrome was made (Infection Associated HLH) [1] .