Right upper quadrant pain and mass in a 41-year-old previously healthy man: a presenting feature of HIV-associated extranodal diffuse large B cell lymphoma with cardiac involvement. (30th April 2012)

• Record Type: Journal Article
• Authors: Vivekanandarajah, Abhirami; Bhatt, Vijaya Raj; Krishnarasa, Balakumar; Murukutla, Srujitha; Brenner, Arnold; Gupta, Shilpi
• Is Part Of: BMJ case reports. Volume 2012
• Publication Date: 2012-04-30
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr.11.2011.5217
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : With an increasing pandemic of HIV/AIDS, the incidence of HIV-associated lymphoma is expected to rise. Here, the authors report a case of a 41-year-old man who presented with right upper quadrant pain and mass, and was subsequently diagnosed with HIV-associated diffuse large B cell lymphoma (DLBCL) with cardiac involvement. This case illustrates some of the uncommon and interesting aspects of DLBCL: primary extramedullary extranodal stage IV disease as the presenting feature; cardiac involvement at presentation; DLBCL as the only clue to the diagnosis of HIV; and management of HIV-associated DLBCL. This case is also a reminder of the importance of the routine HIV screening for all patients between the ages of 13–64 years, as advocated by centres of disease control and prevention.