Yoko Kawase-Koga
   Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine
   Position   Professor and Division head
Article types Case report
Language English
Peer review Peer reviewed
Title HIV-associated Burkitt lymphoma in a Japanese patient with early submandibular swelling.
Journal Formal name:BMC research notes
Abbreviation:BMC Res Notes
ISSN code:17560500/17560500
Domestic / ForeginForegin
Volume, Issue, Page 6,pp.557
Author and coauthor Komatsu Noriko, Kawase-Koga Yoko, Mori Yoshiyuki, Kamikubo Yasuhiko, Kurokawa Mineo, Takato Tsuyoshi
Publication date 2013/12
Summary BACKGROUND:Patients infected with the human immunodeficiency virus (HIV) are at risk of developing malignancies and have an increased susceptibility to infection. HIV-associated Burkitt lymphoma (BL) is relatively rare in developed countries, but remains prevalent in developing counties and is sometimes compounded by the fact that patients may be unaware that they are HIV-positive.CASE PRESENTATION:A 37-year-old Japanese man was referred to our department for diagnosis and management of submandibular swelling. He was unaware that he was HIV-positive at the initial visit. Here, we describe our diagnostic approach, in which we used hematological and immunological investigations, biopsy, fluorescence-activated cell sorting and fluorescence in situ hybridization to confirm the diagnosis of HIV-associated BL. The patient has no risk factors for HIV infection, and the source of infection remains unclear.CONCLUSIONS:In this case, submandibular swelling was the first clinical sign of pathology and the patient's HIV-positive status only became evident later. It is highly likely that BL was triggered by HIV infection.
DOI 10.1186/1756-0500-6-557
PMID 24370065