Archive for the ‘AIDS’ Category

Clinical symptoms in patients with pulmonary lymphoma were nonspecific and not useful for diagnostic purposes (Table 1). However, three of four patients in our series did develop catheter-related staphylococcal bacteremia. Jacobsen et al recently documented an increased incidence of S aureus bacteremia in patients with AIDS or AIDS-related complex and found that intravenous catheter placement […]

Pulmonary involvement with non-Hodgkins lymphoma is relatively uncommon. Several series have described the radiographic manifestations of pulmonary involvement in non-AIDS lymphoma patients. In a retrospective review of non-Hodgkins lymphoma in 86 patients without AIDS, 19 percent had chest radiographic abnormalities, 9 percent of whom had pulmonary parenchymal involvement and 13 percent of whom had paratracheal, […]

In 1982, the first case of non-Hodgkins lymphoma in a patient at risk for AIDS was reported. In the original Centers for Disease Control (CDC) surveillance definition of AIDS, only primary lymphoma of the central nervous system was considered diagnostic of the syndrome. In 1985, however, the definition was revised to include any high-grade B-cell […]

Case 4 A 31-year-old HIV-positive homosexual man was admitted to the hospital in August 1987 with a 25-pound weight loss and cough, fever and night sweats for three weeks. His past medical history was significant for hepatitis B infection. Physical examination revealed a temperature of38°C, oral candidiasis and difluse bilateral rales. Chest roentgenogram showed difluse […]

Case 2 A 35-year-old man who was HIV-positive and an intravenous drug-user was admitted to the hospital in September 1986 with cough, weight loss and dull substernal chest pain. Fast medical history was remarkable for a presumed Hemophilus influenzae pneumonia in May 1986. Physical examination revealed generalized lymphadenopathy, diffuse rhonchi in the chest, and right […]

The association between AIDS and non-Hodgkins lymphoma has been well established. After Kaposis sarcoma, malignant lymphoma is the most prevalent HIV-related neoplasm. The majority of non-Hodgkins lymphomas in this population are B-cell in origin and undifferentiated (high-grade). Nearly 80 percent involve extranodal sites, most commonly bone marrow, central nervous system, gastrointestinal tract, liver and skin. […]