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Nasopharyngeal carcinoma in an HIV-positive patient causing severe morbidity and early death

Published online by Cambridge University Press:  29 June 2007

Jesper Hald*
Affiliation:
(Copenhagen, Denmark)
Per L. Larsen
Affiliation:
(Copenhagen, Denmark)
*
Jesper Hald, M.D., ENT University Clinic, Gentofte County Hospital, DK-2900 Hellerup, Denmark

Abstract

A nasopharyngeal carcinoma was the first event in an otherwise symptom free HIV person. No reports of simultaneous nasopharyngeal carcinoma and HIV infection are known to us. A 46-year-homosexual man was admitted to the ENT department with a three week history of pain in the throat referred to the left ear. He was found to have an irregular tumour in the nasopharynx with a lymph node metastasis to the left side of the neck. The poor response to radiotherapy and the very aggressive progress after treatment raised suspicion of a co-existing disease process. The risk of sexually transmitted HIV was confirmed post mortem and could explain the rapid progression of the tumour. No anti-HIV treatment was given concurrently with radiotherapy.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1993

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