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RESIDENT'S PAGE: PATHOLOGY

RESIDENT'S PAGE: PATHOLOGY Abstract Pathologic Quiz Case 1 William R. Reisacher, MD; Robert L. Pincus, MD; New York, NYA 39-year-old, human immunodeficiency virus (HIV)–positive, Hispanic woman presented with a 2-day history of shortness of breath, pleuritic chest pain, and a dry cough. Her CD4+ T-cell count was 0.01×109/L (10/μL), and her only opportunistic infections were cryptococcal meningitis and cytomegalovirus esophagitis. At admission, the patient was noted to have a neck mass, approximately 1 to 2 cm in diameter, in the right side of her neck. During the first few days of her hospital stay, the neck mass was noted to be enlarging, and the ear, nose, and throat department was consulted.Physical examination revealed a soft, nontender lymph node, 2 to 3 cm in diameter, in the right jugulodigastric chain. No other lymphadenopathy was noted at this time, and the findings of the rest of the head and neck examination were References 1. Kovacs JA, Halpern JL, Swan JC, Moss J, Parrillo JE, Masur H. Identification of antigens and antibodies specific for Pneumocystis carinii . J Immunol . 1988;140: 2023-2031. 2. Pifer LL, Lattuada CP, Edwards CC, Woods DR, Owens DR. Pneumocystis carinii infection in germ-free rats: implications for human patients . Diagn Microbiol Infect Dis . 1984;2:23-36.Crossref 3. Centers for Disease Control. AIDS Weekly Surveillance Report . Atlanta, Ga: Centers for Disease Control; 1989:1-5. 4. Kwok S, O'Donnell JJ, Wood IS. Retinal cotton-wool spots in a patient with Pneumocystis carinii infection . N Engl J Med . 1982;307:184-185. 5. Burke BA, Good RA. Pneumocystis carinii infection . Medicine . 1973;52:23-51.Crossref 6. Cote RJ, Rosenblum M, Telzak EE, May M, Unger PD, Cartun RW. Disseminated Pneumocystis carinii infection causing extrapulmonary organ failure: clinical, pathologic, and immunohistochemical analysis . Mod Pathol . 1990;3:25-30. 7. Davy RT Jr, Margolis D, Kleiner D, Deyton L, Travis W. Digital necrosis and disseminated Pneumocystis cariniiinfection after aerosolized pentamidine prophylaxis . Ann Intern Med . 1989;111:681-682.Crossref 8. Cohen OJ, Stoeckle MD. Extrapulmonary Pneumocystis carinii infections in the acquired immunodeficiency syndrome . Arch Intern Med . 1991;151:1205-1214.Crossref 9. Northfelt DW, Clement MJ, Safrin S. Extrapulmonary pneumocystosis: clinical features in human immunodeficiency virus infection . Medicine . 1990;69:392-398.Crossref 10. Telzak EE, Cote RJ, Gold JWM, Campbell SW, Armstrong D. Extrapulmonary Pneumocystis carinii infections . Rev Infect Dis . 1990;12:380-386.Crossref 11. Gherman CR, Ward RR, Bassis ML. Pneumocystis carinii otitis media and mastoiditis as the initial manifestation of the acquired immunodeficiency syndrome . Am J Med . 1988;85:250-252.Crossref 12. Sandler ED, Sandler JM, LeBoit PE, Wenig BW, Mortensen N. Pneumocystis carinii otitis media in AIDS: a case report and review of the literature regarding extrapulmonary pneumocystosis . Otolaryngol Head Neck Surg . 1990;103:817-821. 13. Robinson LL. General principles of the epidemiology of childhood cancer . In: Pizzo PA, Poplack DG, eds. Principles and Practice of Pediatric Oncology . Philadelphia, Pa: JB Lippincott; 1993. 14. Pappo AS. Rhabdomyosarcoma and other soft tissue sarcomas of childhood . Curr Opin Oncol . 1995;7:361-366.Crossref 15. Maurer HM, Grehan EA, Beltangady M, et al. The Intergroup Rhabdomyosarcoma Study-II . Cancer . 1993;71:1904-1922.Crossref 16. Wexler LH, Helman LJ. Pediatric soft tissue sarcomas . CA Cancer J Clin . 1994; 44:211-246.Crossref 17. Tom LW, Anderson GJ, Womer RB, et al. Nasopharyngeal malignancies in children . Laryngoscope . 1992;102:509-514.Crossref 18. Enzinger FM, Weiss SW. Rhabdomyosarcoma . In: Enzinger FM, Weiss SW, eds. Soft Tissue Tumors . St Louis, Mo: Mosby—Year Book; 1994:539-577. 19. Tsokos M, Webber BL, Parhan DM, et al. Rhabdomyosarcoma: a new classification scheme related to prognosis . Arch Pathol Lab Med . 1992;116:847-855. 20. Crist W, Gehan EA, Ragab AH, et al. The Intergroup Rhabdomyosarcoma Study-III . J Clin Oncol . 1995;13:610-630. 21. Healy GB, Upton J, Black P, Ferraro N. The role of surgery in rhabdomyosarcoma of the head and neck in children . Arch Otolaryngol Head Neck Surg . 1991; 117:1185-1188.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

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References (20)

Publisher
American Medical Association
Copyright
Copyright © 1997 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1997.01900080114015
Publisher site
See Article on Publisher Site

Abstract

Abstract Pathologic Quiz Case 1 William R. Reisacher, MD; Robert L. Pincus, MD; New York, NYA 39-year-old, human immunodeficiency virus (HIV)–positive, Hispanic woman presented with a 2-day history of shortness of breath, pleuritic chest pain, and a dry cough. Her CD4+ T-cell count was 0.01×109/L (10/μL), and her only opportunistic infections were cryptococcal meningitis and cytomegalovirus esophagitis. At admission, the patient was noted to have a neck mass, approximately 1 to 2 cm in diameter, in the right side of her neck. During the first few days of her hospital stay, the neck mass was noted to be enlarging, and the ear, nose, and throat department was consulted.Physical examination revealed a soft, nontender lymph node, 2 to 3 cm in diameter, in the right jugulodigastric chain. No other lymphadenopathy was noted at this time, and the findings of the rest of the head and neck examination were References 1. Kovacs JA, Halpern JL, Swan JC, Moss J, Parrillo JE, Masur H. Identification of antigens and antibodies specific for Pneumocystis carinii . J Immunol . 1988;140: 2023-2031. 2. Pifer LL, Lattuada CP, Edwards CC, Woods DR, Owens DR. Pneumocystis carinii infection in germ-free rats: implications for human patients . Diagn Microbiol Infect Dis . 1984;2:23-36.Crossref 3. Centers for Disease Control. AIDS Weekly Surveillance Report . Atlanta, Ga: Centers for Disease Control; 1989:1-5. 4. Kwok S, O'Donnell JJ, Wood IS. Retinal cotton-wool spots in a patient with Pneumocystis carinii infection . N Engl J Med . 1982;307:184-185. 5. Burke BA, Good RA. Pneumocystis carinii infection . Medicine . 1973;52:23-51.Crossref 6. Cote RJ, Rosenblum M, Telzak EE, May M, Unger PD, Cartun RW. Disseminated Pneumocystis carinii infection causing extrapulmonary organ failure: clinical, pathologic, and immunohistochemical analysis . Mod Pathol . 1990;3:25-30. 7. Davy RT Jr, Margolis D, Kleiner D, Deyton L, Travis W. Digital necrosis and disseminated Pneumocystis cariniiinfection after aerosolized pentamidine prophylaxis . Ann Intern Med . 1989;111:681-682.Crossref 8. Cohen OJ, Stoeckle MD. Extrapulmonary Pneumocystis carinii infections in the acquired immunodeficiency syndrome . Arch Intern Med . 1991;151:1205-1214.Crossref 9. Northfelt DW, Clement MJ, Safrin S. Extrapulmonary pneumocystosis: clinical features in human immunodeficiency virus infection . Medicine . 1990;69:392-398.Crossref 10. Telzak EE, Cote RJ, Gold JWM, Campbell SW, Armstrong D. Extrapulmonary Pneumocystis carinii infections . Rev Infect Dis . 1990;12:380-386.Crossref 11. Gherman CR, Ward RR, Bassis ML. Pneumocystis carinii otitis media and mastoiditis as the initial manifestation of the acquired immunodeficiency syndrome . Am J Med . 1988;85:250-252.Crossref 12. Sandler ED, Sandler JM, LeBoit PE, Wenig BW, Mortensen N. Pneumocystis carinii otitis media in AIDS: a case report and review of the literature regarding extrapulmonary pneumocystosis . Otolaryngol Head Neck Surg . 1990;103:817-821. 13. Robinson LL. General principles of the epidemiology of childhood cancer . In: Pizzo PA, Poplack DG, eds. Principles and Practice of Pediatric Oncology . Philadelphia, Pa: JB Lippincott; 1993. 14. Pappo AS. Rhabdomyosarcoma and other soft tissue sarcomas of childhood . Curr Opin Oncol . 1995;7:361-366.Crossref 15. Maurer HM, Grehan EA, Beltangady M, et al. The Intergroup Rhabdomyosarcoma Study-II . Cancer . 1993;71:1904-1922.Crossref 16. Wexler LH, Helman LJ. Pediatric soft tissue sarcomas . CA Cancer J Clin . 1994; 44:211-246.Crossref 17. Tom LW, Anderson GJ, Womer RB, et al. Nasopharyngeal malignancies in children . Laryngoscope . 1992;102:509-514.Crossref 18. Enzinger FM, Weiss SW. Rhabdomyosarcoma . In: Enzinger FM, Weiss SW, eds. Soft Tissue Tumors . St Louis, Mo: Mosby—Year Book; 1994:539-577. 19. Tsokos M, Webber BL, Parhan DM, et al. Rhabdomyosarcoma: a new classification scheme related to prognosis . Arch Pathol Lab Med . 1992;116:847-855. 20. Crist W, Gehan EA, Ragab AH, et al. The Intergroup Rhabdomyosarcoma Study-III . J Clin Oncol . 1995;13:610-630. 21. Healy GB, Upton J, Black P, Ferraro N. The role of surgery in rhabdomyosarcoma of the head and neck in children . Arch Otolaryngol Head Neck Surg . 1991; 117:1185-1188.Crossref

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Aug 1, 1997

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