Pulmonary Kaposi's Sarcoma - Initial Presentation of HIV Infection
Autor: | Tsvetana Abadjieva, Krasimira Chudomirova, R. Komitova |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
0301 basic medicine
Pathology medicine.medical_specialty bronchoscopy Human immunodeficiency virus (HIV) lcsh:Medicine medicine.disease_cause Malignancy 03 medical and health sciences 0302 clinical medicine Bronchoscopy medicine Kaposi's sarcoma medicine.diagnostic_test business.industry lcsh:R acquired immunodeficiency syndrome General Medicine medicine.disease Antiretroviral therapy 030104 developmental biology Concomitant 030211 gastroenterology & hepatology Sarcoma Presentation (obstetrics) business |
Zdroj: | Folia Medica, Vol 61, Iss 4, Pp 643-649 (2019) |
ISSN: | 0204-8043 1314-2143 |
Popis: | Kaposi’s sarcoma is the most common malignancy associated with human immunodeficiency virus. It commonly affects the skin but can present with visceral involvement, including the lungs. A 23-year-old homosexual male presented with fever, intractable cough and dyspnea. On examination, multiple skin lesions were revealed. Chest computed tomography visualized multiple nodules, bronchoscopy showed endobronchial lesions. Histopathological study of the skin lesions showed Kaposi’s sarcoma and the endobronchial biopsy – a proliferative inflammatory process. Diagnosis of Kaposi’s sarcoma was made based on clinical, laboratory, computed tomography and bronchoscopy data as well as on the regression of pulmonary nodules by the combination antiretroviral therapy. The diagnosis of pulmonary Kaposi’s sarcoma is still a challenge due to concomitant occurrence of opportunistic infections. This case emphasizes the need to strongly consider pulmonary KS as a possible cause for respiratory illness in any HIV-positive patient with cutaneous Kaposi’s sarcoma.  |
Databáze: | OpenAIRE |
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