RT Journal Article
SR Electronic
T1 Intractable pleural effusion in Kaposi sarcoma following antiretroviral therapy in a Caucasian female infected with HIV
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e233335
DO 10.1136/bcr-2019-233335
VO 13
IS 2
A1 Tajarernmuang, Pattraporn
A1 Fiset, Pierre-Olivier
A1 Routy, Jean-Pierre
A1 Beaudoin, Stéphane
YR 2020
UL http://casereports.bmj.com/content/13/2/e233335.abstract
AB We report the case of a 57-year-old Caucasian woman with AIDS-related disseminated Kaposi sarcoma (KS) characterised by the combination of several unusual features. The chylous nature of the pleural effusions, the documented parietal pleural involvement at thoracoscopy and the marked clinical worsening through an immune reconstitution syndrome following antiretroviral therapy initiation represent several rare situations that occurred in the same female patient. In addition, the use of indwelling pleural catheters for dyspnoea palliation also represents a rare therapeutic intervention. This case is a reminder of the possibility of AIDS-related pleural KS, now uncommon in the era of antiretroviral therapy.