Annals of Internal Medicine: Clinical Cases
Pulmonary Kaposi Sarcoma Presenting With Flame-Shaped Computed Tomography Opacities in Advanced HIV
By Yazmin Reategui Almonacid, Astrid Camila Astacio Urena, Albert Owusu-Ansah and 2 others.
Abstract
We report the case of a 61-year-old man with advanced HIV who presented with progressive dyspnea, productive cough, and violaceous cutaneous lesions; computed tomography (CT) of the chest demonstrated bilateral, asymmetric, flame-shaped peri-bronchovascular opacities suggestive of pulmonary Kaposi sarcoma (KS). An initial CT-guided core needle biopsy of the left lung was suspicious for adenocarcinoma but indeterminate on scant tissue. Repeat CT-guided core needle biopsy of the left lower lobe and lingula confirmed KS by human herpesvirus 8 latent nuclear antigen-1 positivity. This case highlights the value of repeat tissue sampling when pathology results are discordant with strong clinical and radiographic suspicion.
Keywords
- Open access
Source
Published in Annals of Internal Medicine: Clinical Cases. The abstract is shown as published and remains the work of its authors; read the full article at the source.
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