Multifocal lymphadenopathy due to cytomegalovirus and Epstein-Barr virus infection in lymphoma patients receiving chemotherapy: A report of two cases

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Abstract

We describe two cases of multifocal lymphadenopathy due to concurrent cytomegalovirus and Epstein-Barr virus infections after chemotherapy for diffuse large B-cell lymphoma. The patients presented with suspected local recurrence on computed tomography and positron emission tomography-computed tomography at 19 and 8 months after completion of chemotherapy, but neither had any signs of systemic involvement. The enlarged lymph nodes resolved spontaneously without treatment after 2 and 12 weeks, respectively. A compromised cellular immune system after chemotherapy may have allowed the viral infection. This report demonstrates that multifocal lymphadenopathy due to viral infection after chemotherapy in aggressive B-cell lymphoma can mimic tumor recurrence, and that spontaneous resolution without antiviral agents can be achieved.

Original languageEnglish
Pages (from-to)8745-8749
Number of pages5
JournalInternational Journal of Clinical and Experimental Pathology
Volume9
Issue number8
StatePublished - 2016
Externally publishedYes

Keywords

  • Cytomegalovirus
  • Epstein-Barr virus
  • Lymphadenopathy
  • Lymphoma
  • Recurrence

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