HIV-negative Primary Bone Marrow Hodgkin Lymphoma Manifesting with a High Fever Associated with Hemophagocytosis as the Initial Symptom: A Case Report and Review of the Previous Literature.

نویسندگان

  • Yasuyoshi Morita
  • Masakatsu Emoto
  • Kentaro Serizawa
  • Shinya Rai
  • Chikara Hirase
  • Yoshitaka Kanai
  • Yasuyo Ohyama
  • Toshihiko Shiga
  • Hirokazu Tanaka
  • Junichi Miyatake
  • Yoichi Tatsumi
  • Takashi Ashida
  • Masatomo Kimura
  • Masafumi Ito
  • Itaru Matsumura
چکیده

A 68-year-old man was referred to our hospital due to a high fever and pancytopenia. Neither tumors nor infectious lesions were detected. Hemophagocytosis was observed on the bone marrow (BM) smear, although without abnormal cells. Prednisolone therapy was ineffective for the patient's high fever. Later on, we obtained the results of a BM biopsy indicating the presence of infiltration of atypical Reed-Sternberg cells, leading to a diagnosis of HIV-negative primary bone marrow Hodgkin lymphoma (PBMHL). However, the patient died of multiple organ failure before receiving chemotherapy. As the clinical course of PBMHL is rapid, physicians must keep in mind its possibility in similar cases.

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عنوان ژورنال:
  • Internal medicine

دوره 54 11  شماره 

صفحات  -

تاریخ انتشار 2015