Case Report

Chylothorax associated with non-endemic Kaposi’s sarcoma

Kamal Verma, Miriam Haverkamp, Mukendi Kayembe, Zola Musimar
Southern African Journal of HIV Medicine | Vol 14, No 3 | a69 | DOI: https://doi.org/10.4102/sajhivmed.v14i3.69 | © 2013 Kamal Verma, Miriam Haverkamp, Mukendi Kayembe, Zola Musimar | This work is licensed under CC Attribution 4.0
Submitted: 12 December 2013 | Published: 17 September 2013

About the author(s)

Kamal Verma, Department of Oncology, Princess Marina Hospital, Gaborone, Botswana, Botswana
Miriam Haverkamp, HIV Care and Support, Botswana-UPenn Partnership, Gaborone, Botswana, Botswana
Mukendi Kayembe, Department of Pathology, National Health Laboratory, Gaborone, Botswana, Botswana
Zola Musimar, Department of Oncology, Princess Marina Hospital, Gaborone, Botswana, Botswana


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Abstract

Chylothorax is a rare cause of pleural effusion, seen in approximately 2% of cases. In HIV-positive patients with Kaposi’s sarcoma (KS), the development of chylothorax presents as a diagnostic challenge with an aggressive course and poor, often lethal outcome. In this clinical scenario, the aetiology of chylothorax may include infections and malignancy, while pleural fluid examination and computed tomography of the mediastinum may fail to establish a cause. We present a case of KS-associated non-traumatic chylothorax resulting in death, and a review of available literature on this condition.


Keywords

AIDS; Kaposi's sarcome; chylothorax

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