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Adult T-cell leukemia/lymphoma complicated by Pneumocystis pneumonia in a non-endemic area. 2023
Mayu Kunimoto, and
Minoru Inomata, and
Haruka Chin, and
Yu Ito, and
Kazushi Fujimoto, and
Yutaka Muto, and
Moe Nomura, and
Kota Sato, and
Keita Sakamoto, and
Nobuyasu Awano, and
Naoyuki Kuse, and
Toshio Kumasaka, and
Tamiko Takemura, and
Takehiro Izumo
Department of Respiratory Medicine, Japanese Red Cross Medical Center, Japan.
Adult T-cell leukemia/lymphoma (ATLL) is a human T-cell leukemia virus type 1-inducing unevenly-distributed T-cell malignancy, which is often complicated by opportunistic infections. Here, we discuss the case of a 75-year-old woman presenting with Pneumocystis pneumonia (PCP) who was subsequently diagnosed with ATLL in Tokyo, a non-endemic area of ATLL. In addition to the elevated soluble interleukin-2 receptor and the detection of flower cells in the screening blood test, the high-resolution computed tomography findings, atypical of PCP, were clues to the diagnosis of ATLL. ATLL should be considered as an underlying disease when patients present with PCP, even in non-endemic areas.
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