Mycobacterium haemophilum as the Initial Presentation of a B-Cell Lymphoma in a Liver Transplant Patient

A 66-year-old woman presented with pustular lesions of her face, trunk, and limbs and an acute arthritis of the knees and elbows. She had a complex medical background and had been on immunosuppressants for three years after a liver transplant. Tissue samples from her skin lesions and synovial fluid...

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Main Authors: T. Doherty, M. Lynn, A. Cavazza, E. Sames, R. Hughes
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Rheumatology
Online Access:http://dx.doi.org/10.1155/2014/742978
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author T. Doherty
M. Lynn
A. Cavazza
E. Sames
R. Hughes
author_facet T. Doherty
M. Lynn
A. Cavazza
E. Sames
R. Hughes
author_sort T. Doherty
collection DOAJ
description A 66-year-old woman presented with pustular lesions of her face, trunk, and limbs and an acute arthritis of the knees and elbows. She had a complex medical background and had been on immunosuppressants for three years after a liver transplant. Tissue samples from her skin lesions and synovial fluid showed acid-fast bacilli. Mycobacterium haemophilum, an atypical mycobacteria, was later grown on culture. During her treatment with combination antibiotic therapy, she developed a pronounced generalised lymphadenopathy. Histology showed features of a diffuse B-cell lymphoma, a posttransplant lymphoproliferative disorder (PTLD).
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series Case Reports in Rheumatology
spelling doaj-art-a7b531bdd48f4cac93d5c47b17b00aaf2025-08-20T03:38:49ZengWileyCase Reports in Rheumatology2090-68892090-68972014-01-01201410.1155/2014/742978742978Mycobacterium haemophilum as the Initial Presentation of a B-Cell Lymphoma in a Liver Transplant PatientT. Doherty0M. Lynn1A. Cavazza2E. Sames3R. Hughes4Ashford and St. Peters NHS Trust, Chertsey, Surrey KT16 0PZ, UKAshford and St. Peters NHS Trust, Chertsey, Surrey KT16 0PZ, UKAshford and St. Peters NHS Trust, Chertsey, Surrey KT16 0PZ, UKAshford and St. Peters NHS Trust, Chertsey, Surrey KT16 0PZ, UKAshford and St. Peters NHS Trust, Chertsey, Surrey KT16 0PZ, UKA 66-year-old woman presented with pustular lesions of her face, trunk, and limbs and an acute arthritis of the knees and elbows. She had a complex medical background and had been on immunosuppressants for three years after a liver transplant. Tissue samples from her skin lesions and synovial fluid showed acid-fast bacilli. Mycobacterium haemophilum, an atypical mycobacteria, was later grown on culture. During her treatment with combination antibiotic therapy, she developed a pronounced generalised lymphadenopathy. Histology showed features of a diffuse B-cell lymphoma, a posttransplant lymphoproliferative disorder (PTLD).http://dx.doi.org/10.1155/2014/742978
spellingShingle T. Doherty
M. Lynn
A. Cavazza
E. Sames
R. Hughes
Mycobacterium haemophilum as the Initial Presentation of a B-Cell Lymphoma in a Liver Transplant Patient
Case Reports in Rheumatology
title Mycobacterium haemophilum as the Initial Presentation of a B-Cell Lymphoma in a Liver Transplant Patient
title_full Mycobacterium haemophilum as the Initial Presentation of a B-Cell Lymphoma in a Liver Transplant Patient
title_fullStr Mycobacterium haemophilum as the Initial Presentation of a B-Cell Lymphoma in a Liver Transplant Patient
title_full_unstemmed Mycobacterium haemophilum as the Initial Presentation of a B-Cell Lymphoma in a Liver Transplant Patient
title_short Mycobacterium haemophilum as the Initial Presentation of a B-Cell Lymphoma in a Liver Transplant Patient
title_sort mycobacterium haemophilum as the initial presentation of a b cell lymphoma in a liver transplant patient
url http://dx.doi.org/10.1155/2014/742978
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AT mlynn mycobacteriumhaemophilumastheinitialpresentationofabcelllymphomainalivertransplantpatient
AT acavazza mycobacteriumhaemophilumastheinitialpresentationofabcelllymphomainalivertransplantpatient
AT esames mycobacteriumhaemophilumastheinitialpresentationofabcelllymphomainalivertransplantpatient
AT rhughes mycobacteriumhaemophilumastheinitialpresentationofabcelllymphomainalivertransplantpatient