Plasmablastic lymphoma mimicking orbital cellulitis

被引：8

作者：

Barkhuysen R. ^{[1
]}

Merkx M.A.W. ^{[1
]}

Weijs W.L.J. ^{[1
]}

Gerlach N.L. ^{[1
]}

Bergé S.J. ^{[1
]}

机构：

[1] Department of Oral and Maxillofacial Surgery 590, Radboud University Nijmegen Medical Centre, 6500 HB Nijmegen

来源：

Oral and Maxillofacial Surgery | 2008年 / 12卷 / 3期

关键词：

AIDS; Maxillofacial; Orbital cellulitis; Orbitalapex syndrome; Plasmablastic lymphoma;

D O I：

10.1007/s10006-008-0117-5

中图分类号：

学科分类号：

摘要：

Introduction: Orbital cellulitis is an uncommon, potentially devastating condition that, when not promptly and adequately treated, can lead to serious sequelae. The presenting clinical signs are proptosis, swelling, ophthalmoplegia, pain and redness of the peri-orbital tissues. A number of cases have been reported in which these symptoms have been mistakenly interpreted as being secondary to an orbital infection whilst, in fact, other pathology was present. Discussion: We add another case in which, on clinical grounds and after radiological assessment and laboratory tests, a working diagnosis of orbital cellulitis of the left eye was made. It was only after histopathological analysis of a soft tissue specimen from the maxillary sinus that a diagnosis of an AIDS-related plasmablastic lymphoma was made. The patient was referred to the department of haematology where chemotherapeutic treatment for the lymphoma and the HIV infection was started. This case report adds another differential diagnosis of orbital cellulitis to the existing literature. © The Author(s) 2008.

引用

页码：125 / 128

页数：3

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