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Updated: Jun 6, 2026

Ex Vivo Infection of Human Lymphoid Tissue and Female Genital Mucosa with Human Immunodeficiency Virus 1 and Histoculture
Published on: October 12, 2018
The importance of pursuing a histological diagnosis in the HIV setting
K A Fernando1, S Acharya, J T Arumaninayagam
1Walsall Centre for Sexual Health, Walsall Hospitals NHS Trust, Pleck Road, Walsall WS2 7BR, UK. kafernando@hotmail.com.
Insights
Persistent symptoms despite initial treatment in an HIV-positive man led to a correct diagnosis of Hodgkin's disease. This case highlights the importance of histological confirmation for accurate diagnosis and effective patient management.
Area of Science:
- Oncology
- Infectious Diseases
- Pathology
Background:
- A 40-year-old African man presented with constitutional symptoms and lymphadenopathy.
- Human immunodeficiency virus (HIV) infection was confirmed.
- Initial presentation mimicked other conditions, leading to empirical treatment.
Purpose of the Study:
- To report a case of Hodgkin's disease in an HIV-positive individual.
- To emphasize the diagnostic challenges in immunocompromised patients.
- To highlight the importance of persistent diagnostic investigation.
Main Methods:
- Clinical presentation review.
- Diagnostic lymph node biopsy.
- Histopathological examination.
- Empirical treatment for tuberculosis.
Main Results:
- Initial lymph node biopsy showed reactive hyperplasia.
- Empirical tuberculosis treatment was ineffective.
- Repeat biopsy confirmed Hodgkin's disease.
Conclusions:
- Hodgkin's disease can present insidiously in HIV-positive individuals.
- Persistent symptoms warrant further diagnostic investigation beyond initial findings.
- Histological diagnosis is crucial for managing complex cases, especially in immunocompromised patients.
Abstract:
A 40-year-old heterosexual African man was admitted with fever, night sweats and lymphadenopathy. His human immunodeficiency virus antibody test was positive. Initial lymph node biopsy revealed reactive hyperplasia only. He was empirically treated for tuberculosis. However, symptoms persisted and a repeat lymph node biopsy was obtained, which confirmed Hodgkin's disease. This emphasises the need to pursue histological diagnosis in such patients with persisting symptoms.
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