title: [A case of pleural malignant lymphoma associated with chronic tuberculous pyothorax].
abstract: We report a case of pleural malignant lymphoma associated with chronic tuberculous pyothorax. A 67-year-old male was hospitalized because of left lateral chest swelling and pain. He had suffered from pulmonary tuberculosis at the age of six and tuberculous pleurisy at the age of 24. We made a histologic diagnosis of malignant lymphoma diffuse large B-cell type. He was medicated THP-COP (THP, CY, VCR, PSL) therapy and his chest pain and swelling has improved gradually. From the view point of molecular biology, we detected Epstein-Barr virus (EBV) infection in the pyothorax wall. In conclusion, we should be more careful about medical examination in patients with EBV positive tuberculous pyothorax considering the complication of malignant lymphoma.
authors.affiliation: Second Department of Internal Medicine, Nara Medical University, 840 Shijo-cho, Kashihara-shi, Nara 634-8522, Japan. afukuoka@nmu-gw.naramed-u.ac.jp
authors.forename: Natsuko
authors.initials: N
authors.lastname: Taniguchi
authors.forename: Atsuhiko
authors.initials: A
authors.lastname: Fukuoka
authors.forename: Itsuto
authors.initials: I
authors.lastname: Amano
authors.forename: Hideo
authors.initials: H
authors.lastname: Okamura
authors.forename: Hideaki
authors.initials: H
authors.lastname: Takenaka
authors.forename: Takeshi
authors.initials: T
authors.lastname: Morii
authors.forename: Yukinori
authors.initials: Y
authors.lastname: Okamoto
authors.forename: Masanori
authors.initials: M
authors.lastname: Yoshikawa
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Konishi
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Tsukaguchi
authors.forename: Kaoru
authors.initials: K
authors.lastname: Hamada
authors.forename: Takahiro
authors.initials: T
authors.lastname: Yoneda
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Narita
mesh_terms: D000368:Aged; D002908:Chronic Disease; D004654:Empyema, Tuberculous / Q000150:complications*; D020031:Epstein-Barr Virus Infections / Q000150:complications; D006801:Humans; D016393:Lymphoma, B-Cell / Q000150:complications*; D008297:Male; D010997:Pleural Neoplasms / Q000150:complications*