Epstein-Barr virus-associated primary central nervous system lymphoma in a child with the acquired immunodeficiency syndrome

A case report and review of the literature

Maria Rodriguez, Patricia I. Delgado, Carol Petito

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12 Citations (Scopus)

Abstract

A 34-month-old black boy who had contracted acquired immunodeficiency syndrome from his mother presented with fever, vomiting, and cough. He was cachectic, hypertonic, and developmentally delayed. A brain computed tomography scan revealed masses in the left frontal horn, subependymal, and periventricular regions; secondary edema; and hydrocephalus. The differential diagnosis was cerebral lymphoma versus toxoplasmosis. The patient had disseminated Mycobacterium avium-intracellulare infection, lymphoid interstitial pneumonitis, as well as Pseudomonas and Klebsiella pneumonia. He died of respiratory insufficiency 53 days after admission. The autopsy confirmed a primary cerebral B-cell lymphoma, large cell type, which was positive for Epstein-Barr virus, latent phase, by in situ hybridization. Primary central nervous system lymphomas are rare in children, in contrast to adults. To our knowledge, only five well-documented cases of primary cerebral lymphomas in infants and children with acquired immunodeficiency syndrome have been reported previously. The current study shows that these childhood lymphomas are associated with and presumably caused by Epstein-Barr virus and thus have a pathogenesis similar to that of primary central nervous system lymphomas in adults.

Original languageEnglish
Pages (from-to)1287-1291
Number of pages5
JournalArchives of Pathology and Laboratory Medicine
Volume121
Issue number12
StatePublished - Dec 1 1997

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Human Herpesvirus 4
Lymphoma
Acquired Immunodeficiency Syndrome
Central Nervous System
Mycobacterium avium-intracellulare Infection
Toxoplasmosis
Interstitial Lung Diseases
Klebsiella pneumoniae
B-Cell Lymphoma
Hydrocephalus
Horns
Pseudomonas
Cough
Respiratory Insufficiency
Vomiting
In Situ Hybridization
Autopsy
Edema
Differential Diagnosis
Fever

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Medical Laboratory Technology

Cite this

Epstein-Barr virus-associated primary central nervous system lymphoma in a child with the acquired immunodeficiency syndrome : A case report and review of the literature. / Rodriguez, Maria; Delgado, Patricia I.; Petito, Carol.

In: Archives of Pathology and Laboratory Medicine, Vol. 121, No. 12, 01.12.1997, p. 1287-1291.

Research output: Contribution to journalArticle

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