Right upper quadrant pain and mass in a 41-year-old previously healthy man: A presenting feature of HIV-associated extranodal diffuse large B cell lymphoma with cardiac involvement

Abhirami Vivekanandarajah, Vijaya Raj Bhatt, Balakumar Krishnarasa, Srujitha Murukutla, Arnold Brenner, Shilpi Gupta

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With an increasing pandemic of HIV/AIDS, the incidence of HIV-associated lymphoma is expected to rise. Here, the authors report a case of a 41-year-old man who presented with right upper quadrant pain and mass, and was subsequently diagnosed with HIV-associated diffuse large B cell lymphoma (DLBCL) with cardiac involvement. This case illustrates some of the uncommon and interesting aspects of DLBCL: primary extramedullary extranodal stage IV disease as the presenting feature; cardiac involvement at presentation; DLBCL as the only clue to the diagnosis of HIV; and management of HIV-associated DLBCL. This case is also a reminder of the importance of the routine HIV screening for all patients between the ages of 13-64 years, as advocated by centres of disease control and prevention.

Original languageEnglish (US)
JournalBMJ case reports
Publication statusPublished - 2012


ASJC Scopus subject areas

  • Medicine(all)

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