Disseminated AIDS-related Kaposi’s sarcoma
Author(s) -
Andy Sing Ong Tang,
Yeon Chiat Teh,
Chin Yung Chea,
Siaw Tze Yeo,
Hock Hin Chua
Publication year - 2018
Publication title -
oxford medical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.169
H-Index - 9
ISSN - 2053-8855
DOI - 10.1093/omcr/omy107
Subject(s) - medicine , sarcoma , pleural effusion , kaposi's sarcoma , diarrhea , acute respiratory distress , respiratory distress , immune reconstitution inflammatory syndrome , human immunodeficiency virus (hiv) , dermatology , pathology , immunology , antiretroviral therapy , lung , viral load , surgery , human herpesvirus
We present a case of disseminated Kaposi's sarcoma with both cutaneous and extracutaneous involvement in an HIV-infected patient with a relatively high CD4 count of 369 cell/mm. He developed chronic diarrhea, constitutional symptoms, worsening bilateral pleural effusion with respiratory distress, and progression of skin lesions distributed over his chest and extremities. The temporal relationship between rapid clinical progression and initiation of HAART suggested the possibility of Kaposi's sarcoma-associated immune reconstitution inflammatory syndrome, which eventually resulted in the death of this patient.
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