Endoscopic Appearance of Oropharyngeal and Upper GI Kaposi’s Sarcoma in an Immunocompromised Patient
Joint Authors
Moslim, Maitham A.
Khan, Zubair
Darr, Umar
Renno, Anas
Alkully, Turki
Kamal, Sehrish
Nawras, Ali T.
Source
Case Reports in Gastrointestinal Medicine
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-02-05
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Introduction.
Kaposi’s sarcoma (KS) usually manifests as a cutaneous disease but GI manifestation is often rare.
It is associated with human herpes virus-8 (HHV-8) and seen in immunocompromised patients.
In the USA, use of highly active antiretroviral therapy (HAART) has drastically reduced incidence of KS in HIV patients.
Case Presentation.
A 65-year-old male with human immunodeficiency virus (HIV) was admitted to the intensive care unit (ICU) with cardiopulmonary arrest secondary to hyperkalemia of 7.5 meq/L.
Following placement of orogastric and endotracheal tube (ETT), a significant amount of blood was noticed in the ETT.
Hemoglobin trended down from 9.6 mg/dL to 6.7 mg/dL over five days.
Stool guaiac was positive.
Esophagogastroduodenoscopy (EGD) was performed and revealed multiple large hypervascularized violaceous submucosal nodular lesions with stigmata of bleeding seen on the soft palate and pharynx and within the cricopharyngeal area close to the vocal cords.
Biopsy of the soft palate lesions showed proliferation of neoplastic spindle shaped cells arranged in bundles with slit-like capillary spaces containing erythrocytes consistent with Kaposi’s sarcoma.
Biopsy was positive for HHV-8.
Colonoscopy was unremarkable.
There were no cutaneous manifestations of the disease.
Conclusion.
GI involvement of Kaposi’s sarcoma must be considered in immunocompromised patients and can be confirmed by endoscopic methods.
American Psychological Association (APA)
Darr, Umar& Renno, Anas& Khan, Zubair& Alkully, Turki& Moslim, Maitham A.& Kamal, Sehrish…[et al.]. 2017. Endoscopic Appearance of Oropharyngeal and Upper GI Kaposi’s Sarcoma in an Immunocompromised Patient. Case Reports in Gastrointestinal Medicine،Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1145509
Modern Language Association (MLA)
Darr, Umar…[et al.]. Endoscopic Appearance of Oropharyngeal and Upper GI Kaposi’s Sarcoma in an Immunocompromised Patient. Case Reports in Gastrointestinal Medicine No. 2017 (2017), pp.1-3.
https://search.emarefa.net/detail/BIM-1145509
American Medical Association (AMA)
Darr, Umar& Renno, Anas& Khan, Zubair& Alkully, Turki& Moslim, Maitham A.& Kamal, Sehrish…[et al.]. Endoscopic Appearance of Oropharyngeal and Upper GI Kaposi’s Sarcoma in an Immunocompromised Patient. Case Reports in Gastrointestinal Medicine. 2017. Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1145509
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145509