51ºÚÁϳԹÏÍø

Abstract

Brazilian female patient, 51-year-old, born in the State of Bahia, rural worker, married, catholic, was living in S�£o Paulo for two months. She was admitted to the Emergency Department at Santa Casa of S�£o Paulo in October/2014 complaining of abdominal pain, nausea, vomiting, lymphadenomegaly, fever, night sweats and weight loss (10 kg) that had begun about three months ago. She smoked one pack of cigarettes per day for 36 years; however she denied any past medical history or agrotoxic exposure. The complete blood count (CBC) showed anemia, eosinophilia and thrombocytopenia. All the serologies for infectious diseases were negative, except for IgM EBV, which was positive. Abdominal ultrasound showed homogeneous hepatosplenomegaly, periportal lymphadenomegaly, and simple cyst in the right kidney and small amount of ascites. CT scan of the chest showed small nodules in the lungs, small amount of pericardial effusion, increased number of lymph nodes in mediastinal, tracheal and infracarinal regions, increased size of lymph nodes in hilar region bilaterally as well as in the chains of diaphragm, clavicles, and in the axillaries chains. Myelogram ruled out Leishmaniasis. The bone marrow biopsy was only hypercellular, showing hyperplasia of the three myeloid types. Lastly, the cervical lymph node biopsy was done with immunophenotyping: CD45 diffusely positive; CD3 positive in the small and medium cells; CD20 positive in immunoblasts; CD4 positive in most of the lymphocytesâ��T-cell lymphoma with angioimmunoblastic features.

Biography

Leticia Alves Antunes has completed her Medical Degree from Federal University of Sao Carlos and is a former Resident in Internal Medicine from Santa Casa de Sao Paulo, Brazil. She is now applying for Medical Residency in the United States.

E-mail: le.alvesantunes@gmail.com