Complete Heart Block and Persistent Lactic Acidosis as an Initial Presentation of Non-Hodgkin Lymphoma in a Critically Ill Newly Diagnosed AIDS Patient

A 66-year-old male with newly diagnosed untreated acquired immunodeficiency syndrome (AIDS) presented with chronic nonspecific complaints of weakness, fatigue, myalgia, and weight loss. His initial EKG showed complete heart block necessitating temporary pacemaker placement. He had no previous histor...

Full description

Saved in:
Bibliographic Details
Published in:Case reports in critical care 2014-01, Vol.2014 (2014), p.1-4
Main Authors: Lvovsky, Dmitry, Niazi, Masooma, Tariq, Hassan, Ijaz, Mohsin
Format: Article
Language:English
Subjects:
Antibiotics
Biopsy
Case Report
Chemotherapy
Drug therapy
Heart
Hypertension
Hypoxia
Lymphatic system
Lymphoma
Medical prognosis
Mortality
Ostomy
Pathogenesis
Patients
Production increases
Ultrasonic imaging
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A 66-year-old male with newly diagnosed untreated acquired immunodeficiency syndrome (AIDS) presented with chronic nonspecific complaints of weakness, fatigue, myalgia, and weight loss. His initial EKG showed complete heart block necessitating temporary pacemaker placement. He had no previous history of cardiac disease. He was also found to have a persistent lactic acidosis and imaging studies showed abdominal lymphadenopathy. The patient underwent biopsy of these lymph nodes and was found to have diffuse large B-cell lymphoma. The hospital course was complicated by respiratory failure requiring mechanical ventilator support and cardiac arrest. Patient remained critically ill; he was not a candidate for chemotherapy and, after a month of hospitalization, he died. Lactic acidosis and heart block as an initial presentation of non-Hodgkin lymphoma in an AIDS patient are an unusual and unique presentation.
ISSN:2090-6420
2090-6439
DOI:10.1155/2014/214970