PMID- 25500443 OWN - NLM STAT- MEDLINE DCOM- 20150518 LR - 20190606 IS - 1349-7235 (Electronic) IS - 0918-2918 (Linking) VI - 53 IP - 24 DP - 2014 TI - Rapid multiorgan failure due to large B-cell lymphoma arising in human herpesvirus-8-associated multicentric Castleman's disease in a patient with human immunodeficiency virus infection. PG - 2805-9 AB - A 46-year-old man presented with a high-grade fever, multiple lymphadenopathies, hepatosplenomegaly and human immunodeficiency virus (HIV) seropositivity, without severe immunosuppression. We suspected human herpesvirus-8 (HHV-8)-associated multicentric Castleman's disease (MCD) based on the results of a physical examination and laboratory investigations, including bone marrow aspiration. However, the patient died eight days after admission due to multiorgan failure. An autopsy revealed MCD and lymphoma cell infiltration in multiple organs. The final diagnosis was large B-cell lymphoma (LBCL) arising in HHV-8-associated MCD. This case illustrates the potential for LBCL in HHV-8 MCD in HIV-infected patients with hepatosplenomegaly and lymphadenopathy without severe immunosuppression and highlights the clinical significance of bone marrow aspiration. FAU - Ogawa, Yoshihiko AU - Ogawa Y AD - Department of Infectious Diseases, National Hospital Organization Osaka National Hospital, Japan. FAU - Watanabe, Dai AU - Watanabe D FAU - Hirota, Kazuyuki AU - Hirota K FAU - Ikuma, Motoko AU - Ikuma M FAU - Yajima, Keishiro AU - Yajima K FAU - Kasai, Daisuke AU - Kasai D FAU - Mori, Kiyoshi AU - Mori K FAU - Ota, Yasunori AU - Ota Y FAU - Nishida, Yasuharu AU - Nishida Y FAU - Uehira, Tomoko AU - Uehira T FAU - Mano, Masayuki AU - Mano M FAU - Yamane, Takahisa AU - Yamane T FAU - Shirasaka, Takuma AU - Shirasaka T LA - eng PT - Case Reports PT - Journal Article DEP - 20141215 PL - Japan TA - Intern Med JT - Internal medicine (Tokyo, Japan) JID - 9204241 RN - Multi-centric Castleman's Disease SB - IM MH - Bone Marrow/pathology MH - Castleman Disease/*complications/pathology/virology MH - Fatal Outcome MH - HIV Infections/*complications/pathology MH - Herpesvirus 8, Human/isolation & purification MH - Humans MH - Lymphoma, B-Cell/*complications/pathology MH - Male MH - Middle Aged MH - Multiple Organ Failure/*etiology EDAT- 2014/12/17 06:00 MHDA- 2015/05/20 06:00 CRDT- 2014/12/16 06:00 PHST- 2014/12/16 06:00 [entrez] PHST- 2014/12/17 06:00 [pubmed] PHST- 2015/05/20 06:00 [medline] AID - DN/JST.JSTAGE/internalmedicine/53.2212 [pii] AID - 10.2169/internalmedicine.53.2212 [doi] PST - ppublish SO - Intern Med. 2014;53(24):2805-9. doi: 10.2169/internalmedicine.53.2212. Epub 2014 Dec 15.