Primary meningeal Burkitt-type lymphoma presenting as the first clinical manifestation of acquired immunodeficiency syndrome.
The purpose of this study is to report a rare case of primary meningeal high grade Burkitt-type lymphoma presenting as the first clinical manifestation of acquired immunodeficiency syndrome. A 38-year-old Caucasian man, with a negative past medical history, sought treatment after experiencing global headache for five days. CT-Scan revealed a right front-temporo-parietal hyperdense subdural expansive mass. A craniotomy was performed and a hard white subdural was microsurgically dissected. Some hours after the surgery, the patient developed hemispheric cerebral edema and intracranial hypertension syndrome. Decompressive craniotomy was performed and the patient had an excellent recovery. Screening blood tests diagnosed human immunodeficiency virus infection. Further investigation ruled out systemic diseases. Eleven days after the initial surgery, the patient developed an acute respiratory failure and sepsis, dying on that day. Pathological studies diagnosed Burkitt-type lymphoma.
Gobbato
Pedro Luís
PL
Hospital São José, Complexo Hospitalar Santa Casa de Porto Alegre, Porto Alegre RS, Brazil.
Pereira Filho
Arthur de Azambuja
Ade A
de David
Gustavo
G
Faria
Mário de Barros
Mde B
de David
Felipe
F
Aleixo
Pedro Bandeira
PB
Barra
Marinez Bizarro
MB
Ferreira
Nelson Pires
NP
D000328:Adult; D002051:Burkitt Lymphoma / Q000175:diagnosis* / Q000601:surgery; D003399:Craniotomy; D017809:Fatal Outcome; D006801:Humans; D016483:Lymphoma, AIDS-Related / Q000175:diagnosis* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008577:Meningeal Neoplasms / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed