Hubbard Rachel, Kotecha Jalpa, Nash Thomas, Lee Yu Jin, Khan Nasir, Kazmi Farhat
Radiology Department, Chelsea and Westminster Hospital, United Kingdom.
HIV Department, Chelsea and Westminster Hospital, United Kingdom.
SA J Radiol. 2017 Nov 14;21(2):1239. doi: 10.4102/sajr.v21i2.1239. eCollection 2017.
Hodgkin's lymphoma and disseminated complex (MAC) infection share similar clinical features; both may affect human immunodeficiency virus (HIV)-positive individuals. We discuss a patient with poorly controlled HIV-infection presenting with chest sepsis, dyspnoea and weight loss. Whilst the initial working diagnosis was that of MAC infection, pathology results had not met diagnostic criteria. Lymph node biopsy instead revealed classical Hodgkin's lymphoma. We discuss the role of radiological examination in cases of diagnostic uncertainty.
霍奇金淋巴瘤与播散性鸟型胞内分枝杆菌复合体(MAC)感染具有相似的临床特征;两者都可能影响人类免疫缺陷病毒(HIV)阳性个体。我们讨论了一名HIV感染控制不佳的患者,其表现为胸部脓毒症、呼吸困难和体重减轻。虽然最初的初步诊断是MAC感染,但病理结果未达到诊断标准。相反,淋巴结活检显示为经典型霍奇金淋巴瘤。我们讨论了放射学检查在诊断不明确病例中的作用。