Background: Primary effusion lymphoma (PEL) is a lymphoid proliferation related to Kaposi sarcoma herpesvirus 8/human herpesvirus 8 (KSHV/HHV8) that affects mainly human immunodeficiency virus (HIV) infected individua...Background: Primary effusion lymphoma (PEL) is a lymphoid proliferation related to Kaposi sarcoma herpesvirus 8/human herpesvirus 8 (KSHV/HHV8) that affects mainly human immunodeficiency virus (HIV) infected individuals but can also occur in other immunodeficiency settings. It is characterized by lymphomatous effusions in different serous body cavities without the presence of a detectable tumor mass. The diagnosis is challenging and the clinical outcomes are poor. Aim: The aim of this paper is to report a rare case of PEL in a man who have sex with women (MSW) with HIV-1/2 infection, history of visceral Kaposi sarcoma (KS) and the development of a seronegative arthritis previous to the lymphoproliferative disease diagnosis. PEL presented with ascites, was treated with high-dose chemotherapy and autologous stem cell transplantation, with a good clinical outcome. Case Presentation: We describe a case of a 48-year-old HIV-1/2-infected patient from a high HHV8 seroprevalent country, hospitalized following a three-month history of increased abdominal volume and general constitutional symptoms. Laboratory data revealed normocytic normochromic anemia and a high level of lactate dehydrogenase. A diagnostic paracentesis was performed with cytology compatible with high-grade B-cell lymphoma. Peritoneal fluid cytology showed large lymphoid cells expressing leucocyte-common antigen CD45 without expression of the CD20 antigen (B-lymphocytes) and positivity for HHV8 by immunocytochemical staining, compatible with the diagnosis of PEL.展开更多
目的探讨中国流行株 HIV- 1gag与 h IL - 2 /h IL - 6共表达重组核酸疫苗质粒的免疫效果。方法以核酸疫苗质粒 p IRES1neo为表达载体 ,构建重组核酸疫苗质粒 p IRES1- gag、p IRES1- gag- h IL- 2、p IRES1- gag- h IL- 6 ,通过间接免...目的探讨中国流行株 HIV- 1gag与 h IL - 2 /h IL - 6共表达重组核酸疫苗质粒的免疫效果。方法以核酸疫苗质粒 p IRES1neo为表达载体 ,构建重组核酸疫苗质粒 p IRES1- gag、p IRES1- gag- h IL- 2、p IRES1- gag- h IL- 6 ,通过间接免疫荧光试验、Dot- EL ISA检测 gag/h IL - 2 /h IL - 6基因的表达产物。另将此重组核酸疫苗质粒免疫 Balb/c小鼠 ,进行淋巴细胞转化试验、CD4+ 、CD8+ T淋巴细胞数量测定、细胞毒性 T淋巴细胞 (CTL )特异性杀伤作用检测及血清抗体检测 ,结果构建的重组质粒转染 BHK细胞后可表达目的基因 ,免疫小鼠后可有效地刺激淋巴细胞增殖、诱导特异性 CTL 反应 ,当和 h IL- 2 /h IL- 6共表达时免疫效果更加显著。讨论与 Gag蛋白共表达的 h IL- 2 /h IL- 6能够进一步增强免疫鼠的细胞免疫与体液免疫水平 ,构建的重组质粒为 HIV-展开更多
文摘Background: Primary effusion lymphoma (PEL) is a lymphoid proliferation related to Kaposi sarcoma herpesvirus 8/human herpesvirus 8 (KSHV/HHV8) that affects mainly human immunodeficiency virus (HIV) infected individuals but can also occur in other immunodeficiency settings. It is characterized by lymphomatous effusions in different serous body cavities without the presence of a detectable tumor mass. The diagnosis is challenging and the clinical outcomes are poor. Aim: The aim of this paper is to report a rare case of PEL in a man who have sex with women (MSW) with HIV-1/2 infection, history of visceral Kaposi sarcoma (KS) and the development of a seronegative arthritis previous to the lymphoproliferative disease diagnosis. PEL presented with ascites, was treated with high-dose chemotherapy and autologous stem cell transplantation, with a good clinical outcome. Case Presentation: We describe a case of a 48-year-old HIV-1/2-infected patient from a high HHV8 seroprevalent country, hospitalized following a three-month history of increased abdominal volume and general constitutional symptoms. Laboratory data revealed normocytic normochromic anemia and a high level of lactate dehydrogenase. A diagnostic paracentesis was performed with cytology compatible with high-grade B-cell lymphoma. Peritoneal fluid cytology showed large lymphoid cells expressing leucocyte-common antigen CD45 without expression of the CD20 antigen (B-lymphocytes) and positivity for HHV8 by immunocytochemical staining, compatible with the diagnosis of PEL.
