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Intravascular lymphoma masquerading as septic shock.
Hiroki Kato1, Shinichi Miyazaki2, Kodai Yabu3
1Department of Gastroenterology Yokkaichi Municipal Hospital Yokkaichi Japan.
Clinical Case Reports
|April 13, 2022
Summary
Intravascular lymphoma (IVL) is a rare cancer affecting small blood vessels. This case highlights IVL presenting as shock and organ failure, emphasizing its potential for rapid, fatal progression.
Area of Science:
- Oncology
- Hematology
- Pathology
Background:
- Intravascular lymphoma (IVL) is a rare extranodal non-Hodgkin lymphoma.
- It characteristically involves small blood vessels, often presenting with non-specific symptoms.
Observation:
- A patient presented with dyspnea, weight loss, refractory shock, and multiple-organ dysfunction.
- Clinical presentation mimicked severe infection or sepsis.
Findings:
- Postmortem examination revealed disseminated intravascular lymphoma.
- No evidence of infectious etiology was found, confirming IVL as the cause of death.
Implications:
- This case underscores the diagnostic challenge of intravascular lymphoma.
- Early recognition and consideration of IVL are crucial for patients with unexplained shock and organ failure.
- Highlights the importance of histopathological examination in diagnosing rare hematologic malignancies.
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