Adult T-cell leukemia/lymphoma complicated by Pneumocystis pneumonia in a non-endemic area
Adult T-cell leukemia/lymphoma (ATLL) is a human T-cell leukemia virus type 1-inducing unevenly-distributed T-cell malignancy, which is often complicated by opportunistic infections. Here, we discuss the case of a 75-year-old woman presenting with Pneumocystis pneumonia (PCP) who was subsequently di...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-01-01
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| Series: | Respiratory Medicine Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213007123000023 |
| _version_ | 1827990065168515072 |
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| author | Mayu Kunimoto Minoru Inomata Haruka Chin Yu Ito Kazushi Fujimoto Yutaka Muto Moe Nomura Kota Sato Keita Sakamoto Nobuyasu Awano Naoyuki Kuse Toshio Kumasaka Tamiko Takemura Takehiro Izumo |
| author_facet | Mayu Kunimoto Minoru Inomata Haruka Chin Yu Ito Kazushi Fujimoto Yutaka Muto Moe Nomura Kota Sato Keita Sakamoto Nobuyasu Awano Naoyuki Kuse Toshio Kumasaka Tamiko Takemura Takehiro Izumo |
| author_sort | Mayu Kunimoto |
| collection | DOAJ |
| description | Adult T-cell leukemia/lymphoma (ATLL) is a human T-cell leukemia virus type 1-inducing unevenly-distributed T-cell malignancy, which is often complicated by opportunistic infections. Here, we discuss the case of a 75-year-old woman presenting with Pneumocystis pneumonia (PCP) who was subsequently diagnosed with ATLL in Tokyo, a non-endemic area of ATLL. In addition to the elevated soluble interleukin-2 receptor and the detection of flower cells in the screening blood test, the high-resolution computed tomography findings, atypical of PCP, were clues to the diagnosis of ATLL. ATLL should be considered as an underlying disease when patients present with PCP, even in non-endemic areas. |
| first_indexed | 2024-04-10T00:29:53Z |
| format | Article |
| id | doaj.art-79383c7d0c2242c191fda28ce883549f |
| institution | Directory Open Access Journal |
| issn | 2213-0071 |
| language | English |
| last_indexed | 2024-04-10T00:29:53Z |
| publishDate | 2023-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Respiratory Medicine Case Reports |
| spelling | doaj.art-79383c7d0c2242c191fda28ce883549f2023-03-15T04:28:04ZengElsevierRespiratory Medicine Case Reports2213-00712023-01-0142101807Adult T-cell leukemia/lymphoma complicated by Pneumocystis pneumonia in a non-endemic areaMayu Kunimoto0Minoru Inomata1Haruka Chin2Yu Ito3Kazushi Fujimoto4Yutaka Muto5Moe Nomura6Kota Sato7Keita Sakamoto8Nobuyasu Awano9Naoyuki Kuse10Toshio Kumasaka11Tamiko Takemura12Takehiro Izumo13Department of Respiratory Medicine, Japanese Red Cross Medical Center, JapanDepartment of Respiratory Medicine, Japanese Red Cross Medical Center, Japan; Corresponding author. Department of Respiratory Medicine, Japanese Red Cross Medical Center, 4-1-22 Hiroo, Shibuya-ku, Tokyo, 150-8935, Japan.Department of Respiratory Medicine, Japanese Red Cross Medical Center, JapanDepartment of Respiratory Medicine, Japanese Red Cross Medical Center, JapanDepartment of Respiratory Medicine, Japanese Red Cross Medical Center, JapanDepartment of Respiratory Medicine, Japanese Red Cross Medical Center, JapanDepartment of Hematology, Japanese Red Cross Medical Center, JapanDepartment of Hematology, Japanese Red Cross Medical Center, JapanDepartment of Respiratory Medicine, Japanese Red Cross Medical Center, JapanDepartment of Respiratory Medicine, Japanese Red Cross Medical Center, JapanDepartment of Respiratory Medicine, Japanese Red Cross Medical Center, JapanDepartment of Pathology, Japanese Red Cross Medical Center, JapanDepartment of Pathology, Kanagawa Cardiovascular and Respiratory Center, JapanDepartment of Respiratory Medicine, Japanese Red Cross Medical Center, JapanAdult T-cell leukemia/lymphoma (ATLL) is a human T-cell leukemia virus type 1-inducing unevenly-distributed T-cell malignancy, which is often complicated by opportunistic infections. Here, we discuss the case of a 75-year-old woman presenting with Pneumocystis pneumonia (PCP) who was subsequently diagnosed with ATLL in Tokyo, a non-endemic area of ATLL. In addition to the elevated soluble interleukin-2 receptor and the detection of flower cells in the screening blood test, the high-resolution computed tomography findings, atypical of PCP, were clues to the diagnosis of ATLL. ATLL should be considered as an underlying disease when patients present with PCP, even in non-endemic areas.http://www.sciencedirect.com/science/article/pii/S2213007123000023Adult T-cell leukemia/lymphoma (ATLL)Human T-cell leukemia virus type 1 (HTLV-1)Pneumocystis pneumonia (PCP) |
| spellingShingle | Mayu Kunimoto Minoru Inomata Haruka Chin Yu Ito Kazushi Fujimoto Yutaka Muto Moe Nomura Kota Sato Keita Sakamoto Nobuyasu Awano Naoyuki Kuse Toshio Kumasaka Tamiko Takemura Takehiro Izumo Adult T-cell leukemia/lymphoma complicated by Pneumocystis pneumonia in a non-endemic area Respiratory Medicine Case Reports Adult T-cell leukemia/lymphoma (ATLL) Human T-cell leukemia virus type 1 (HTLV-1) Pneumocystis pneumonia (PCP) |
| title | Adult T-cell leukemia/lymphoma complicated by Pneumocystis pneumonia in a non-endemic area |
| title_full | Adult T-cell leukemia/lymphoma complicated by Pneumocystis pneumonia in a non-endemic area |
| title_fullStr | Adult T-cell leukemia/lymphoma complicated by Pneumocystis pneumonia in a non-endemic area |
| title_full_unstemmed | Adult T-cell leukemia/lymphoma complicated by Pneumocystis pneumonia in a non-endemic area |
| title_short | Adult T-cell leukemia/lymphoma complicated by Pneumocystis pneumonia in a non-endemic area |
| title_sort | adult t cell leukemia lymphoma complicated by pneumocystis pneumonia in a non endemic area |
| topic | Adult T-cell leukemia/lymphoma (ATLL) Human T-cell leukemia virus type 1 (HTLV-1) Pneumocystis pneumonia (PCP) |
| url | http://www.sciencedirect.com/science/article/pii/S2213007123000023 |
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