ABSTRACT
Pleural disease in Non-Hodgkin's Lymphoma is well documented and commonly presents with pleural effusion in 20% of patients. However, solid pleural involvement is less common and is usually a secondary event. Primary pleural lymphomas are extremely rare. Hereby we report a rare case of primary pleural lymphoma presenting as chylothorax.
Subject(s)
Lymphoma, Non-Hodgkin/diagnosis , Pleural Neoplasms/diagnosis , Adolescent , Chylothorax/etiology , Humans , Lymphoma, Non-Hodgkin/complications , Male , Pleural Neoplasms/complicationsABSTRACT
We report the case of an 18-year-old female who was mis-diagnosed as a smear-negative pulmonary tuberculosis and advised standard antituberculosis treatment. She later presented with clinio-radiological worsening and thrombosis of superficial veins of the lower extremity. Cytoplasmic anti-neutrophil cytoplasmic antibody and computed tomography-guided lung biopsy confirmed the diagnosis of Wegener's granulomatosis. The rare association of superficial vein thrombosis with lung manifestation is highlighted here as also the need for a high index of clinical suspicion to avoid a missed or delayed diagnosis.
Subject(s)
Diagnostic Errors , Granulomatosis with Polyangiitis/diagnosis , Lung/pathology , Tuberculosis, Pulmonary/diagnosis , Adolescent , Antibodies, Antineutrophil Cytoplasmic/immunology , Female , Granulomatosis with Polyangiitis/immunology , Humans , Image-Guided Biopsy , Lung/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
A 56 years male diabetic patient presented with recurrent left upper lobe pneumonia. Fiberoptic bronchoscopy revealed extraluminal compression of left main bronchus with an endobronchial mass obstructing the left upper lobe orifice. The lesion resembled bronchial adenoma. However histological examination revealed mucormycosis. Timely diagnosis followed by medical intervention with intravenous Amphotericin B, coupled with proper management of diabetes, ablated the tumor. Relevant literature on the subject is reviewed.