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Angiotropic large B-cell lymphoma misdiagnosed as urosepsis with multiple organ dysfunction syndrome.

Angiotropic large B-cell lymphoma misdiagnosed as urosepsis with multiple organ dysfunction syndrome.

Authors :
Deusch, E.
Mayr, A.
Hobisch-Hagen, P.
Fend, F.
Mutz, N.
Bangerl, I.
Hasibeder, W.
Source :
Acta Anaesthesiologica Scandinavica; Jan1999, Vol. 43 Issue 1, p100-103, 4p, 2 Black and White Photographs
Publication Year :
1999

Abstract

A 53-year-old woman with a history of cervical carcinoma 14 years ago, treated with hysterectomy and radiation therapy, was admitted to the intensive care unit with severe SIRS (systemic inflammatory response syndrome) progressing to shock, multiple organ failure and death within 5 d. Bilateral hydronephrosis diagnosed by sonography and an enlarged left kidney with suspected abscesses verified in a CT-scan suggested the diagnosis of urosepsis. However, multiple microbiological examinations remained sterile. Despite surgical treatment and aggressive intensive care, she died in unresponsive shock. Pathohistologically, an angiotropic large B-cell lymphoma, a rare diffuse intravascular neoplasm of lymphoid origin, was diagnosed. The patient's history of abdominal radiation therapy 14 years earlier as well as multiple negative microbiological specimens in a patient with suspected urosepsis should have initiated the search for a non-infectious cause of the disease. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
00015172
Volume :
43
Issue :
1
Database :
Complementary Index
Journal :
Acta Anaesthesiologica Scandinavica
Publication Type :
Academic Journal
Accession number :
6259341
Full Text :
https://doi.org/10.1034/j.1399-6576.1999.430121.x