The multi-organ failure observed in many patients is considered the result of a pro-inflammatory cytokine storm, including IL1β, IL2, IL6, IL7, IL8, IL10, IL17, and interferon gamma, probably accompanied by diffuse macrophage activation, as also evidenced by the presence of hemophagocytosis in liver tissue of our patients [9]. This evidence concerns the gene IL10 and Hemophagocytosis.