ABSTRACT
Os autores relatam um caso de paciente do sexo feminino, 17 anos de idade, assintomática, portadora de doença de castleman, e discutem os achados de imagem. A radiografia de toráx mostrou massa hiliar à direita, que na tomografia computadorizada apresentou realce significativo após a administração venosa do contraste iodado. O diagnóstico foi dado pelo estudo anatomopatológico. Uma breve revisão da literatura é apresentada.
The authors present a case of Castleman´s disease in a 17-years-old asymptomatic female patient. The chest X-ray performed showed a right hilar mass, which significantly enhanced on computed tomography after intravenous injection of iodinated contrast media. The diagnosis of Castleman´s disease was reached by histopathology findings. A brief review of the literature is presented.
Subject(s)
Humans , Female , Adolescent , Castleman Disease/surgery , Castleman Disease/diagnosis , Radiography, Thoracic , Tomography, X-Ray Computed , Thoracotomy/methods , Biopsy, Needle , Diagnosis, DifferentialABSTRACT
Reactivation of chronic Chagas' disease is a rare condition and occurs only in immunosuppressed patients. We report a case of a patient with a rapid and fatal reactivation of Chagas' disease, manifested by meningoencephalitis, which lead to a diagnosis of acquired immunodeficiency syndrome (AIDS). We believe there is sufficient evidence to include the reactivation of Chagas' disease among the diagnostic criteria of AIDS in Human Immunodeficiency Virus (HIV) infection.