title: Plasma-cell type Castleman's disease of the neck and lymphocyte-depletion Hodgkin lymphoma associated with intestinal intussusception in an AIDS patient.
abstract: A 36-year-old man was diagnosed with plasma-cell type Castleman's disease with the presentation of recurrent lymphadenpathy of the neck. HIV infection was not suspected or confirmed until esophageal candidiasis developed one year later. Meanwhile, surgery was performed for intestinal intussusception and obstruction caused by lymphocyte-depletion Hodgkin lymphoma. However, he died of rapidly progressive pneumonia and disseminated intravascular coagulation associated with intracerebral hemorrhage, which occurred 6 months later during the course of chemotherapy. This case suggests that HIV infection should be considered in patients who present with plasma-cell type Castleman's disease or lymphocyte-depletion Hodgkin lymphoma with extra-nodal involvement in order to conduct appropriate diagnosis and initiate treatment for HIV infection.
authors.affiliation: Division of Infectious Diseases, Department of Internal Medicine, E-Da Hospital/I-Shou University, Kaohsiung County, Taiwan, ROC.
authors.forename: Chung-Hsu
authors.initials: CH
authors.lastname: Lai
authors.forename: Jen-Wei
authors.initials: JW
authors.lastname: Tsai
authors.forename: Jiun-Nong
authors.initials: JN
authors.lastname: Lin
authors.forename: Pei-Min
authors.initials: PM
authors.lastname: Hsieh
authors.forename: Hsi-Hsun
authors.initials: HH
authors.lastname: Lin
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000328:Adult; D005871:Castleman Disease / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D004211:Disseminated Intravascular Coagulation / Q000175:diagnosis / Q000473:pathology; D017809:Fatal Outcome; D006689:Hodgkin Disease / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D007443:Intussusception / Q000175:diagnosis* / Q000473:pathology; D008206:Lymphatic Diseases / Q000209:etiology / Q000473:pathology*; D008212:Lymphocyte Depletion; D008297:Male; D009333:Neck / Q000473:pathology*; D011014:Pneumonia / Q000175:diagnosis / Q000473:pathology