Adult T-cell leukemia/lymphoma complicated by Pneumocystis pneumonia in a non-endemic area.
Respir Med Case Rep
; 42: 101807, 2023.
Article
em En
| MEDLINE
| ID: mdl-36660069
ABSTRACT
Adult T-cell leukemia/lymphoma (ATLL) is a human T-cell leukemia virus type 1-inducing unevenly-distributed T-cell malignancy, which is often complicated by opportunistic infections. Here, we discuss the case of a 75-year-old woman presenting with Pneumocystis pneumonia (PCP) who was subsequently diagnosed with ATLL in Tokyo, a non-endemic area of ATLL. In addition to the elevated soluble interleukin-2 receptor and the detection of flower cells in the screening blood test, the high-resolution computed tomography findings, atypical of PCP, were clues to the diagnosis of ATLL. ATLL should be considered as an underlying disease when patients present with PCP, even in non-endemic areas.
ATLL, adult T-cell leukemia/lymphoma; Adult T-cell leukemia/lymphoma (ATLL); CT, computed tomography; GGO, ground glass opacity; HRCT, high-resolution CT; HTLV-1, human T-cell leukemia virus type 1; Human T-cell leukemia virus type 1 (HTLV-1); LD, lactate dehydrogenase; PCP, Pneumocystis pneumonia; Pneumocystis pneumonia (PCP); sIL-2R, soluble interleukin-2 receptor
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MEDLINE
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En
Ano de publicação:
2023
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Article