“…Associated hematological changes include a hemoglobin level of 7-10 g/dl, leukopenia, thrombocytopenia, pancytopenia, increased ESR and erythroid hyperplasia in the bone marrow and varying degrees of erythrophagocytosis, leukophagocytosis and granulomatous reactions. In some cases clotting abnormalities and deranged platelet function are also observed [3]. Few studies, furthermore, indicate inflammatory changes in the liver, which include hypertrophy and hyperplasia of Kupffer cells, diffused intralobular fibrosis, fibrosis of the wall of the central vein, and pericellular fibrosis [4].…”