Castleman’s disease in an HIV-positive patient

• Autores: Mesía-Angeles, Diego, Cuti-Simon, Félix E., Simon-Lagos, Pilar, Medina-Soriano, Carlos
• Formato: artículo
• Fecha de Publicación: 2023
• Institución: Sociedad Peruana de Medicina Interna
• Repositorio: Revista de la Sociedad Peruana de Medicina Interna
• Lenguaje: español
• OAI Identifier: oai:medicinainterna.net.pe:article/793
• Enlace del recurso: https://revistamedicinainterna.net/index.php/spmi/article/view/793
• Nivel de acceso: acceso abierto
• Materia: Enfermedad de Cstleman; Virus de inmunodeficiencia humana; VIH; Castleman disease; Human Immunodeficiency Virus; HIV

A 38-year-old man from Lima, with a history of HIV for three years in treatment, presented with a sensation of thermal elevation, nocturnal diaphoresis and productive cough with whitish expectoration; he also had a pulsating bitemporal headache and, one week before admission, he presented shortness of breath associated with sore throat, dysphonia and oppressive chest pain of intensity 6/10. Due to persistence of symptoms, he went to the Emergency Department, where the chest X-ray showed a mediastinal mass, so it was decided to hospitalize him. Chest TEM showed a left mediastinal mass, with multiple cervical and mediastinal adenopathies; and abdominal TEM showed a mass in the aortic bifurcation and multiple pararaortic and inguinal nodes. Inguinal node biopsyshowed histology compatible with Castleman’s disease. Chemotherapy was started, with favorable evolution and improvement of symptoms.