[A case of pleural malignant lymphoma associated with chronic tuberculous pyothorax].
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.
Taniguchi
Natsuko
N
Second Department of Internal Medicine, Nara Medical University, 840 Shijo-cho, Kashihara-shi, Nara 634-8522, Japan. afukuoka@nmu-gw.naramed-u.ac.jp
Fukuoka
Atsuhiko
A
Amano
Itsuto
I
Okamura
Hideo
H
Takenaka
Hideaki
H
Morii
Takeshi
T
Okamoto
Yukinori
Y
Yoshikawa
Masanori
M
Konishi
Mitsuru
M
Tsukaguchi
Katsuhiko
K
Hamada
Kaoru
K
Yoneda
Takahiro
T
Narita
Nobuhiro
N
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*