Hodgkin lenfoma, tüberküloz ve otoimmün hemolitik anemili olgu: Olgu sunumu

Öz

Tüberkülozun Hodgkin hastalığını da içeren birçok malin hastalıkla birlikteliği tanımlanmıştır. Bu yazıda, tüberküloz, Hodgkin hastalığı ve hemolitik anemi tanısı alan bir olgu sunuldu. Her iki hastalıkta aynı semptom ve bulguları gösterebildiğinden, tanılardan birisi gözden kaçabilir. Klinisyen tedavi başarısızlığı ile karşılaştığında, bu hastalıkların aynı anda olabileceğinin de farkında olmalıdır.

Anahtar Kelimeler

• Hemolitik anemi, Hodgkin hastalığı/komplikasyonlar/tanı, tüberküloz/komplikasyonlar

Report of a case with Hodgkin's lymphoma, tuberculosis and autoimmune hemolytic anemia

Abstract

Tuberculosis has been described in association with malignancies including Hodgkin's disease (HD). In this article, a patient with diagnoses of H D, tuberculosis and hemolytic anemia is reported. Both tuberculosis and HD may present with similar symptoms and signs, and one of the diagnoses may be overlooked. The physicians should be aware of the simultaneous occurrence of both of these diseases when they are faced with initial therapeutic failure, during care of H D and tuberculosis patients.

Keywords

• Hodgkin Disease,Tuberculosis,Tomography, X-Ray Computed,Diagnosis,Adolescent,Male,Anemia, Hemolytic, Autoimmune,Radionuclide Imaging,Fatal Outcome

Kaynakça

1. 1. Lanzkowsky P. Hodgkin lymphoma. In: Lanzkowsky P, editor. Manual of pediatric hematology and oncology
2. 3rd ed. London: Academic Press; 1999. p. 413-43
3. 2. Ouedraogo M, Ouedraogo SM, Cisse R, Lougue C, Badoum G, Sigani A, et al. Active tuberculosis in a patient with Hodgkin’s disease. A case report. Rev Pneumol Clin 2000;56(1):33-5
4. 3. Karakas Z, Agaoglu L, Taravari B, Saribeyoglu E, Somer A, Guler N, at al. Pulmonary tuberculosis in children with Hodgkin’s lymphoma. Hematol J 2003;4(1):78-81
5. 4. Grosmann M. Tuberculosis. In: Rudolph AM, Hoffman JIE, Rudolph CD, editors. Rudolph’s pediatrics
6. 20th ed. Connecticut: Appleton&Lange; 1996
7. p. 614-23
8. 5. Starke JR, Smith MHD. Tuberculosis. Infectious disease of fetus and newborn infant. 5th ed. Philadelphia: W.B. Saunders Company; 2001. p. 1179-97

9. 6. Melero M, Gennaro O, Domínguez C, Sánchez Avalos JC. Tuberculosis in patients with lymphomas. [Article in Spanish] Medicina (B Aires) 1992;52(4):291-5
10. [Abstract] 7. Costa LJ, Gallafrio CT, França FO, del Giglio A
11. Simultaneous occurrence of Hodgkin disease and tuberculosis: report of three cases. South Med J 2004;97(7):696-8
12. 8. Centkowski P, Sawczuk-Chabin J, Prochorec M, Warzocha K. Hodgkin’s lymphoma and tuberculosis coexistence in cervical lymph nodes. Leuk Lymphoma 2005;46(3):471-5
13. 9. Aisenberg GM, Jacobson K, Chemaly RF, Rolston KV, Raad II, Safdar A. Extrapulmonary tuberculosis active infection misdiagnosed as cancer: Mycobacterium tuberculosis disease in patients at a Comprehensive Cancer Center (2001-2005). Cancer 2005;104(12):2882-7
14. 10. Cantwell AR Jr. Pleomorphic bacteria as a cause of Hodgkin’s disease (Hodgkin’s lymphoma). JOIMR 2006;4(1):1
15. 11. Starke JR, Smith MHD. Tuberculosis. In: Feigin RD, Cherry JD, editors. Textbook of pediatric infectious diseases. 4th ed. Philedelphia: W.B. Saunders Company; 1998. p. 1196-239
16. 12. Bakheet SM, Powe J, Ezzat A, Rostom A. F-18-FDG uptake in tuberculosis. Clin Nucl Med 1998;23(11):739-42
17. 13.Yang ZG, Min PQ, Sone S, He ZY, Liao ZY, Zhou XP, et al. Tuberculosis versus lymphomas in the abdominal lymph nodes: evaluation with contrast-enhanced CT. AJR Am J Roentgenol 1999;172(3):619-23
18. 14. Sahu JK, Kabra SK. Tuberculosis and immune hemolytic anemia. Indian J Pediatr 2006;73(2):169
19. 15. Gupta V, Bhatia BD. Abdominal tuberculosis with autoimmune hemolytic anemia. Indian J Pediatr 2005;72(2):175-6
20. 16. Glasser RM, Walker RI, Herion JC. The significance of hematologic abnormalities in patients with tuberculosis
21. Arch Intern Med 1970;125(4):691-5
22. 17. Berkowitz FE. Hemolysis and infection: categories and mechanisms of their interrelationship. Rev Infect Dis 1991;13(6):1151-62
23. 18. Siribaddana SH, Wijesundera A. Autoimmune haemolytic anaemia responding to anti-tuberculous treatment. Trop Doct 1997;27(4):243-4
24. 19. Kuo PH, Yang PC, Kuo SS, Luh KT. Severe immune hemolytic anemia in disseminated tuberculosis with response to antituberculosis therapy. Chest 2001;119(6):1961-3
25. 20. Blanche P, Rigolet A, Massault PP, Bouscary D, Dreyfus F, Sicard D. Autoimmune haemolytic anaemia revealing miliary tuberculosis. J Infect 2000;40(3):292
26. 21.Bakhshi S, Rao IS, Jain V, Arya LS. Autoimmune hemolytic anemia complicating disseminated childhood tuberculosis. Indian J Pediatr 2004;71(6):549-51