Primary cardiac lymphoma in a patient with acquired immune deficiency syndrome.
A 34-year-old male prisoner with a history of intravenous drug abuse presented with fever, lymphadenopathy, weight loss, and recent onset of congestive heart failure. Serologic testing was positive for antibodies to human immune deficiency virus. There was intense myocardial uptake of gallium. Autopsy showed a primary immunoblastic lymphoma involving only the myocardium. While primary cardiac lymphoma is an extremely rare condition, the incidence may be higher in patients with acquired immune deficiency syndrome (AIDS) and should be suspected in cases with atypical cardiomyopathy.
Constantino
A
A
Department of Medicine, State University of New York at Buffalo.
West
T E
TE
Gupta
M
M
Loghmanee
F
F
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000328:Adult; D005710:Gallium Radioisotopes; D006338:Heart Neoplasms / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008228:Lymphoma, Non-Hodgkin / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D008297:Male; D011877:Radionuclide Imaging
D005710:Gallium Radioisotopes