Case Report
 
Walking the thin line between malignancy and infectious disease: A case report
Catarina Couto1, Sofia Fraga1
1MD, Pediatrics’ Resident, Hospital Garcia de Orta, Almada, Portugal

Article ID: Z01201712CR10858DL
doi: 10.5348/ijcri-2017119-CR-10858

Corresponding Author:
Catarina Barreiros Couto
Rua dos Pinheiros, n° 160 RC dto
Almada, Portugal
2820-567 Charneca da
Caparica

Access full text article on other devices

  Access PDF of article on other devices

[HTML Full Text]   [PDF Full Text] [Print This Article]
[Similar article in Pumed] [Similar article in Google Scholar]


How to cite this article
Couto C, Fraga S. Walking the thin line between malignancy and infectious disease: A case report. Int J Case Rep Images 2017;8(12):762–769.


ABSTRACT

Introduction: Children infected by human immunodeficiency virus have a higher incidence of malignancy than non-infected children.
Case Report: A healthy 13-year-old boy presented with a month long history of a swelling of the right parotid gland and cervical region. On ultrasound, multiple right cervical and intraparotid lymph nodes were noted. A fine-needle lymph node aspiration cytology and flow cytometry excluded a lymphoproliferative disorder, but serologic testing revealed the patient had a human immunodeficiency virus infection. Tuberculous lymphadenitis was considered and the patient was started on antitubercular drugs after a lymph node biopsy was performed. The biopsy eventually revealed a non-Hodgkin lymphoma.
Conclusion: Overlapping symptoms at presentation can complicate differential diagnosis of human immunodeficiency virus infection and malignancy.

Keywords: Diffuse large B cell lymphoma, Human immunodeficiency virus, Malignancy



[HTML Full Text]   [PDF Full Text]

Author Contributions
Catarina Barreiros Couto – Substantial contributions to conception and design, Acquisition of data, Drafting of the article, Final approval of the version to be published
Sofia Fraga – Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of Submission
The corresponding author is the guarantor of submission.
Source of Support
None
Conflict of Interest
Authors declare no conflict of interest.
Copyright
© 2017 Catarina Barreiros Couto et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.