Key result
Immediate pericardiocentesis for cardiac tamponade enables successful diagnosis and treatment of Stage IIB Hodgkin lymphoma.
Case Report (n=1)
Cardiac tamponade is an extremely rare but possible initial presentation of Hodgkin lymphoma.
Cardiac tamponade may rarely herald Hodgkin lymphoma in young adults; extends known presentations but leaves open diagnostic implications.
Cardiac involvement in malignant lymphoma is one of the least investigated subjects. Pericardial effusion is rarely symptomatic in patients of Hodgkin lymphoma (HL). Few case reports are available in the literature. There are case reports of diagnosed HL patients presenting with pericardial effusion. HL patients who present with recurrent episodes of pericardial effusion have also been reported. Pericardial effusion has also been reported in cases of non HL. However, pericardial effusion leading to cardiac tamponade as an initial presentation of HL is extremely rare. Very few such cases are there in the literature. Here, we present a case of a 26-year-old male patient who presented with cardiac tamponade and in due course was found to be a case of classical type of HL. This case is interesting because of its presentation.
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Hajra et al. (2015) conducted a case report in Hodgkin lymphoma presenting as cardiac tamponade (n=1). Pericardiocentesis and chemotherapy was evaluated. A 26-year-old male presenting with cardiac tamponade was successfully diagnosed and treated for Stage IIB nodular sclerosing Hodgkin lymphoma following immediate pericardiocentesis.
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