Open AccessSimultaneous presentation of two noninflammatory lung diseases in an HIV-infected patient
Author(s) -
Rafael MartínezGirón,
Santiago MartínezTorre
Publication year - 2017
Publication title -
annals of thoracic medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.639
H-Index - 33
eISSN - 1817-1737
pISSN - 1998-3557
DOI - 10.4103/atm.atm_335_16
Subject(s) - medicine , pulmonary alveolar proteinosis , lung , presentation (obstetrics) , chest pain , pathology , lung biopsy , biopsy , human immunodeficiency virus (hiv) , malaise , left lung , radiology , surgery , immunology
The simultaneous presentation of two noninflammatory pulmonary diseases, pulmonary alveolar proteinosis and Kaposi's sarcoma (Ks), in an HIV-infected patient, is described. A 29-year-old black race patient was admitted to the hospital because of general malaise, weight loss, dyspnea, chest pain, and cough with hemoptoic expectoration. Chest X-rays revealed a patchy bilateral alveolar pattern with a tendency toward the formation of condensations. The serological test revealed HIV positivity (CD4 counts of 393 cells/mm 3 ). Because there was no response to the treatment course, a thoracic CT was performed, showing interlobular thickening with intralobular septal lines and ground glass opacities ("crazy-paving" pattern). An open lung biopsy was performed. Histopathological diagnosis of pulmonary alveolar proteinosis and pulmonary Ks was made.