Tropical anamnesis disguising malignant lymphoma.
The fatal history of 2 young men returning from the tropics is reported. The 1st case was characterized by recurrent fever and cholestatic jaundice, and the diagnostic and therapeutic efforts were directed towards exotic infection. Finally, indications of Hodgkin's disease were found and cytostatic treatment was tried unsuccessfully. Autopsy confirmed the diagnosis. The 2nd case was characterized by continuous fever and haemolysis requiring blood transfusion and prednisone. Tropical infection, among other things, was constantly suspected, but finally a liver biopsy demonstrated non-Hodgkin lymphoma. The diagnosis of malignant lymphoma in 2 previously healthy men was in both cases delayed by their stay in the tropics.
D000328:Adult; D003141:Communicable Diseases / Q000150:complications / Q000175:diagnosis*; D003951:Diagnostic Errors; D005334:Fever; D006461:Hemolysis; D006689:Hodgkin Disease / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008223:Lymphoma / Q000150:complications* / Q000175:diagnosis; D008288:Malaria / Q000150:complications / Q000175:diagnosis; D008297:Male; D014330:Tropical Medicine