Compromiso pulmonar por linfoma no Hodgkin diseminado en un paciente con SIDA / Pulmonary involvement due to disseminated non Hodgkin lymphoma in 1 patient with AIDS
Rev. méd. Chile
; 129(11): 1315-1319, nov. 2001. ilus, tab
Article
in Es
| LILACS
| ID: lil-302639
Responsible library:
CL1.1
ABSTRACT
Pulmonary involvement due to disseminated non Hodgkin lymphoma (LNH), is an unusual cause of lung disease in AIDS patients. We report a 38 years old male patient, with advanced AIDS, who, in the course of three weeks, developed cough, dyspnea and fever. The chest X ray film showed diffuse thickening of the peribronchovascular connective tissue with possible mediastinal lymph node enlargement. The evolution was unfavorable with hypoxemia, severe anemia, liver damage and elevated levels of lactic dehydrogenase. The presumptive initial diagnoses were Pneumocystis carinii pneumonia, pulmonary tuberculosis with hematogenous dissemination and Kaposi sarcoma. Definitive diagnosis was made through a transbronchial biopsy performed the day before his death. The pathological and inmunohistochemical report demonstrated a highly aggressive lymphoma (lymphoblastic, B precursor). This finding was confirmed by autopsy that revealed multiple organ involvement
Full text:
1
Index:
LILACS
Main subject:
Lymphoma, Non-Hodgkin
/
Acquired Immunodeficiency Syndrome
/
Lung Neoplasms
Limits:
Adult
/
Humans
/
Male
Language:
Es
Journal:
Rev. méd. Chile
Journal subject:
MEDICINA
Year:
2001
Type:
Article