Pulmonary Kaposi Sarcoma: An Uncommon Cause of Respiratory Failure in the Era of Highly Active Antiretroviral Therapy—Case Report and Review of the Literature

Kaposi Sarcoma (KS) is the most common malignancy associated with Acquired Immune Deficiency Syndrome (AIDS) and is caused by Human Herpesvirus 8 (HHV 8) or Kaposi Sarcoma Herpesvirus (KSHV). In about 90% of cases Kaposi Sarcoma is associated with cutaneous lesions; however visceral disease can occu...

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Main Authors: Stanley M. Nwabudike, Stefan Hemmings, Yonette Paul, Yordanis Habtegebriel, Octavius Polk, Alem Mehari
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2016/9354136
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author Stanley M. Nwabudike
Stefan Hemmings
Yonette Paul
Yordanis Habtegebriel
Octavius Polk
Alem Mehari
author_facet Stanley M. Nwabudike
Stefan Hemmings
Yonette Paul
Yordanis Habtegebriel
Octavius Polk
Alem Mehari
author_sort Stanley M. Nwabudike
collection DOAJ
description Kaposi Sarcoma (KS) is the most common malignancy associated with Acquired Immune Deficiency Syndrome (AIDS) and is caused by Human Herpesvirus 8 (HHV 8) or Kaposi Sarcoma Herpesvirus (KSHV). In about 90% of cases Kaposi Sarcoma is associated with cutaneous lesions; however visceral disease can occur in the absence of cutaneous involvement. In the era of Highly Active Antiretroviral Therapy (HAART), the incidence of KS has declined. Clinical features of pulmonary KS might be difficult to distinguish from pneumonia in the immunocompromised patients and could lead to diagnostic challenges. First-line treatment of KS is with HAART and the incidence has declined with its use. Systemic chemotherapy may play a role depending on the extent of the disease. We report the case of a young man who presented with pulmonary symptoms and was later found to have pulmonary KS. Interestingly this diagnosis was made in the absence of the classic skin lesions. His disease was complicated by progressive respiratory failure and he eventually died.
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spelling doaj-art-1a538978dc69401dac7aa7494f506b692025-02-03T06:05:20ZengWileyCase Reports in Infectious Diseases2090-66252090-66332016-01-01201610.1155/2016/93541369354136Pulmonary Kaposi Sarcoma: An Uncommon Cause of Respiratory Failure in the Era of Highly Active Antiretroviral Therapy—Case Report and Review of the LiteratureStanley M. Nwabudike0Stefan Hemmings1Yonette Paul2Yordanis Habtegebriel3Octavius Polk4Alem Mehari5Department of Internal Medicine, Howard University College of Medicine, Washington, DC, USADepartment of Internal Medicine, Howard University College of Medicine, Washington, DC, USADepartment of Internal Medicine, Howard University College of Medicine, Washington, DC, USADivision of Pulmonary and Critical Care, Howard University College of Medicine, Washington, DC, USADivision of Pulmonary and Critical Care, Howard University College of Medicine, Washington, DC, USADivision of Pulmonary and Critical Care, Howard University College of Medicine, Washington, DC, USAKaposi Sarcoma (KS) is the most common malignancy associated with Acquired Immune Deficiency Syndrome (AIDS) and is caused by Human Herpesvirus 8 (HHV 8) or Kaposi Sarcoma Herpesvirus (KSHV). In about 90% of cases Kaposi Sarcoma is associated with cutaneous lesions; however visceral disease can occur in the absence of cutaneous involvement. In the era of Highly Active Antiretroviral Therapy (HAART), the incidence of KS has declined. Clinical features of pulmonary KS might be difficult to distinguish from pneumonia in the immunocompromised patients and could lead to diagnostic challenges. First-line treatment of KS is with HAART and the incidence has declined with its use. Systemic chemotherapy may play a role depending on the extent of the disease. We report the case of a young man who presented with pulmonary symptoms and was later found to have pulmonary KS. Interestingly this diagnosis was made in the absence of the classic skin lesions. His disease was complicated by progressive respiratory failure and he eventually died.http://dx.doi.org/10.1155/2016/9354136
spellingShingle Stanley M. Nwabudike
Stefan Hemmings
Yonette Paul
Yordanis Habtegebriel
Octavius Polk
Alem Mehari
Pulmonary Kaposi Sarcoma: An Uncommon Cause of Respiratory Failure in the Era of Highly Active Antiretroviral Therapy—Case Report and Review of the Literature
Case Reports in Infectious Diseases
title Pulmonary Kaposi Sarcoma: An Uncommon Cause of Respiratory Failure in the Era of Highly Active Antiretroviral Therapy—Case Report and Review of the Literature
title_full Pulmonary Kaposi Sarcoma: An Uncommon Cause of Respiratory Failure in the Era of Highly Active Antiretroviral Therapy—Case Report and Review of the Literature
title_fullStr Pulmonary Kaposi Sarcoma: An Uncommon Cause of Respiratory Failure in the Era of Highly Active Antiretroviral Therapy—Case Report and Review of the Literature
title_full_unstemmed Pulmonary Kaposi Sarcoma: An Uncommon Cause of Respiratory Failure in the Era of Highly Active Antiretroviral Therapy—Case Report and Review of the Literature
title_short Pulmonary Kaposi Sarcoma: An Uncommon Cause of Respiratory Failure in the Era of Highly Active Antiretroviral Therapy—Case Report and Review of the Literature
title_sort pulmonary kaposi sarcoma an uncommon cause of respiratory failure in the era of highly active antiretroviral therapy case report and review of the literature
url http://dx.doi.org/10.1155/2016/9354136
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