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Mycobacterial Spindle Cell Pseudotumor in an 18-Year-Old Female With Congenital HIV: A Case Report and Literature
Zahra Aminparast1, Zeinab Shakibaee Fard2, Amirmohammad Khodaei2
1Department of Pathology, Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran, kums.ac.ir.
Abstract:
Mycobacterial spindle cell pseudotumor (MSP) is an uncommon granulomatous inflammation often found in immunocompromised patients, especially those with HIV. This case report discusses an 18-year-old female with congenital HIV, who presented with severe epigastric pain, nausea, and noteworthy lymphadenopathy. Imaging studies identified lobulated masses, and a core needle biopsy confirmed the diagnosis of MSP, revealing spindle-shaped histiocytes and acid-fast bacilli. Additionally, we reviewed nine MSP cases documented since 2017.
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