急性淋巴细胞白血病合并弓形虫病1例报告

Q4 Medicine

Jornal Brasileiro de Patologia e Medicina Laboratorial Pub Date : 2020-01-01 DOI:10.5935/1676-2444.20200033

S. Machado, L. R. Oliveira, Beatriz M. Scalassara, Karina G. Faria, Lara E. F. O. Almeida

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引用次数: 0

摘要

罕见的临床病例急性淋巴细胞白血病(ALL)与弓形虫病影响23岁男性患者进行性呼吸困难。胸部电脑断层扫描显示右侧锁骨上窝淋巴结肿大及右侧胸腔积液。弓形虫病血清学检查:免疫球蛋白G [(IgG) 180.6]阳性，免疫球蛋白M [(IgM) 0.98]阳性。因此，开始对感染进行治疗，左颈部淋巴结免疫组化显示ALL。因此，在肿瘤中心引入了化疗。弓形虫病的诊断允许进行治疗，防止化疗引起的免疫抑制引起的病情恶化。

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Acute lymphocytic leukemia associated with toxoplasmosis: case report

Rare clinical case of acute lymphocytic leukemia (ALL) associated with toxoplasmosis affecting a 23-year-old male patient with progressive dyspnea. Chest computed tomography revealed expansive lesions indicating right supraclavicular fossa lymph node enlargement and right pleural effusion. Toxoplasmosis serology was performed: positive for immunoglobulin G [(IgG) 180.6] and positive for immunoglobulin M [(IgM) 0.98]. Therefore, treatment for the infection was initiated and immunohistochemistry of left cervical lymph node revealed ALL. Consequently, chemotherapy treatment was introduced at an oncology center. The diagnosis of toxoplasmosis allowed treatment to be administered, preventing the worsening of the condition caused by chemotherapy-induced immunosuppression.

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来源期刊

Jornal Brasileiro de Patologia e Medicina Laboratorial Health Professions-Medical Laboratory Technology

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

20 weeks

期刊介绍： The Jornal Brasileiro de Patologia e Medicina Laboratorial (Brazilian Journal of Pathology and Laboratory Medicine), a continuation of Jornal Brasileiro de Patologia (Brazilian Journal of Pathology), and published quarterly (March, June, September and December) is directed towards the publication of scientific articles that contribute to the development of the area of Laboratory Medicine (Clinical Pathology, Pathology, Cytopathology). It accepts the following categories of articles: original articles, review articles, case reports, short communications, updating articles, letters to editors and reviews.