Among the 8 patients with TB-HLH, 3 were admitted to our hospital from the emergency room. All 8 patients were in critical condition during their stay in the hospital. Three patients died during hospitalization, another 3 gave up further treatment and died soon after discharge, 1 patient improved during hospitalization, and 1 improved after receiving treatment in a TB hospital. Currently, the 2 patients who remained relatively stable are no longer receiving ATT (adhere to ATT at least 1 year) or glucocorticoid therapy (adhere to glucocorticoid at least glucocorticoid 8 weeks according to HLH-2004).