Ileocecal neoformation in a Human Immunodeficiency Virus positive patient

Abstract

e e r a c p Patients infected with the Human Immunodeficiency Virus (HIV) have an increased risk of developing cancer, of which 10% are Non-Hodgkin Lymphomas (NHL).1,2 We report a case of a 46-year-old female with pulmonary tuberculosis three years before, currently with stage C3 AIDS with a CD4+ lymphocytes count of 122. She attended the Hospital because of abdominal pain in the right lower abdominal quadrant, 4--5 liquid stools/day with dark blood, weight loss (7 kg), asthenia and anorexia in the last 3 months. Evening fever was reported in the previous 5 days. She was hemodynamically stable. There was no palpable adenopathy, but the presence of a tender mass in the right lower abdominal quadrant was noted. She had relative neutrophilia and CRP elevation (133mg/L). CMV and EBV IgG antibodies were positive and IgM antibodies were negative. Abdomen ultrasound and Computed Tomography showed thickening of the terminal ileum and part of the ascending colon, with abnormal parietal enhancement, fat