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Unexplained recurrent shock in peripheral T-cell lymphoma: A case report.
Hiroshi Imamura1, Yuichiro Kashima1, Masao Hattori1
1Department of Emergency and Critical Care Medicine Shinshu University School of Medicine Matsumoto Japan.
Malignant lymphoma can mimic sepsis, presenting as shock without enlarged lymph nodes. This case highlights peripheral T-cell lymphoma causing recurrent shock and diverse symptoms like pain and respiratory distress.
Area of Science:
- Oncology
- Hematology
- Critical Care Medicine
Background:
- Malignant lymphoma can present with unusual symptoms.
- Septic-like shock is a rare but recognized manifestation of lymphoma.
- Early diagnosis is crucial for effective treatment.
Observation:
- A patient presented with unexplained recurrent shock.
- The patient had peripheral T-cell lymphoma without apparent lymphadenopathy.
- Symptoms included chest/back pain, tracheobronchomalacia-related respiratory distress, rash, and fever.
Findings:
- Peripheral T-cell lymphoma can cause severe, shock-like symptoms.
- Absence of lymphadenopathy does not exclude lymphoma as a cause of shock.
- Multisystemic involvement is characteristic of this presentation.
Implications:
- Clinicians should consider lymphoma in cases of unexplained shock, even without lymphadenopathy.
- This case broadens the differential diagnosis for shock and systemic inflammatory responses.
- Recognizing atypical lymphoma presentations improves patient outcomes.
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