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Updated: Jul 18, 2026

Processing of Bronchoalveolar Lavage Fluid and Matched Blood for Alveolar Macrophage and CD4+ T-cell Immunophenotyping and HIV Reservoir Assessment
Published on: June 23, 2019
[Pulmonary MALT lymphoma revealing AIDS]
A B Cortot1, V Cottin, B Issartel
1Service de Pneumologie, Centre de référence des Maladies Orphelines Pulmonaires, Hôpital Louis Pradel, Université de Lyon - UMR 754, Lyon, France.
A rare case of pulmonary mucosa-associated lymphoid tissue (MALT) lymphoma revealed acquired immune deficiency syndrome (AIDS) in a patient. Combination therapy with rituximab and antiretrovirals achieved complete remission.
Area of Science:
- Oncology
- Infectious Diseases
- Immunology
Background:
- Mucosa-associated lymphoid tissue (MALT) lymphoma is a rare B-cell malignancy.
- Acquired immune deficiency syndrome (AIDS) is a chronic condition caused by the human immunodeficiency virus (HIV).
- This case highlights the potential for pulmonary MALT lymphoma to be an initial manifestation of AIDS.
Observation:
- A 30-year-old man presented with respiratory symptoms and was diagnosed with HIV infection.
- Thoracic CT revealed diffuse ground glass opacities and consolidation.
- Lung biopsy confirmed a low-grade B-cell MALT lymphoma (CD20+) with t(11;18) translocation.
Findings:
- The patient had an isolated pulmonary MALT lymphoma.
- No extrathoracic lymphoma was detected.
- Treatment with rituximab and highly active antiretroviral therapy (HAART) resulted in rapid and complete remission.
Implications:
- Pulmonary MALT lymphoma can be an indicator of underlying HIV infection and AIDS.
- Combined immunochemotherapy and antiretroviral treatment can be effective in managing this condition.
- This case underscores the importance of considering opportunistic infections and malignancies in patients with atypical presentations.
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