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一名感染艾滋病毒/艾滋病患者胃伯基特淋巴瘤的淋巴结浸润

Lymph Node Penetration From Gastric Burkitt Lymphoma in a Patient Living With HIV/AIDS.

作者信息

Razera Ricardo José, de Souza-Filho Ronaldo Modesto, Patzina Rosely Antunes, Ardengh Jose C, Calanca Richard

机构信息

Digestive Endoscopy, Instituto de Infectologia Emílio Ribas, São Paulo, BRA.

Pathology, Instituto de Infectologia Emílio Ribas, São Paulo, BRA.

出版信息

Cureus. 2024 Feb 9;16(2):e53905. doi: 10.7759/cureus.53905. eCollection 2024 Feb.

Abstract

Non-Hodgkin's Lymphoma (NHL) in people living with Human Immunodeficiency Virus/Acquired Immunodeficiency SyndromeHIV/AIDS) still constitutes a reality of high morbidity and mortality, sometimes not respecting the patient's degree of immunosuppression as it can even occur in those with a high CD4+ T lymphocyte count. Burkitt's lymphoma, in this sense, has been shown to be one of the main subtypes of this condition in this group of patients. This case report concerns a 32-year-old man diagnosed with metastatic gastric Burkitt's lymphoma after one month of his admission to a tertiary hospital for neurological complaints. The aim of this study is to raise an alert to suspect this diagnosis even in patients with adequate immunity, a well-done history, and a physical examination, which are the main pillars for reaching a diagnosis.

摘要

人类免疫缺陷病毒/获得性免疫缺陷综合征(HIV/AIDS)感染者中的非霍奇金淋巴瘤(NHL)仍然是高发病率和高死亡率的现实情况,有时并不考虑患者的免疫抑制程度,因为它甚至可能发生在CD4 + T淋巴细胞计数较高的患者中。从这个意义上说,伯基特淋巴瘤已被证明是该组患者中这种疾病的主要亚型之一。本病例报告涉及一名32岁男性,他因神经症状入住三级医院一个月后被诊断为转移性胃伯基特淋巴瘤。本研究的目的是提高警惕,即使在免疫力正常、病史完善且经过体格检查(这些是做出诊断的主要依据)的患者中也要怀疑这种诊断。

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