M/17 months, septicemia, WBC count 2500/cumm, HB 9.9 gm%, platelet 110,000/cumm, clinical/hematologic findings are suspicious of hempphagocytic syndrome,  
 
Acute abdomen, rt hemicolectomy done, sent for HPE. Images from mesenteric lymph nodes are submitted.  Ileum and colon  showed acute nonspecific necroinflammatory process