Primary cardiac lymphoma, though rare, may have a higher incidence in AIDS patients and should be suspected in cases of atypical cardiomyopathy.
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May prompt lymphoma consideration in AIDS cardiomyopathy; single case leaves open diagnostic recommendations.
A 34-year-old male prisoner with a history of intravenous drug abuse presented with fever, lymphadenopathy, weight loss, and recent onset of congestive heart failure. Serologic testing was positive for antibodies to human immune deficiency virus. There was intense myocardial uptake of gallium. Autopsy showed a primary immunoblastic lymphoma involving only the myocardium. While primary cardiac lymphoma is an extremely rare condition, the incidence may be higher in patients with acquired immune deficiency syndrome (AIDS) and should be suspected in cases with atypical cardiomyopathy.
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Constantino et al. (1987) studied this question.
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