[Spontaneous tumor lysis syndrome in a patient with non-Hodgkin's lymphoma].
An 77-year-old woman with no previous history of malignancy was admitted to the hospital with generalized weakness and malaise. Physical examination demonstrate multiple cervical adenopathies. The day after admission the patient developed severe metabolic derangements (hyperuricemia, hypocalcemia, hyperkalemia, hyperphosphatemia and azotemia) and expired. Consent for necropsy was refused. The cytology and molecular studies of cervical adenopathy sample were diagnostic of high-grade non-Hodgkin's lymphoma. A presumptive diagnosis of non Hodgkin lymphoma with spontaneous tumor lysis syndrome was made.
Barquero Romero
J
J
Servicio de Medicina Interna, Hospital Perpetuo Socorro, Complejo Hospitalario Universitario, Badajoz. pepebarquero@yahoo.es
Catalina Fernández
I
I
Hernández Sáez
C
C
Jiménez Morales
J L
JL
García de la Llana
F
F
D000368:Aged; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008228:Lymphoma, Non-Hodgkin / Q000150:complications* / Q000175:diagnosis; D015275:Tumor Lysis Syndrome / Q000209:etiology*