Upper airway obstruction secondary to acquired immunodeficiency syndrome-related Kaposi's sarcoma. NLM AIDSLINE Important note: Information in this article was accurate in 1986. The state of the art may have changed since the publication date.

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Upper airway obstruction secondary to acquired immunodeficiency syndrome-related Kaposi's sarcoma.

Chest. 1985 Oct;88(4):638-40. Unique Identifier : AIDSLINE MED/86003673
Greenberg JE; Fischl MA; Berger JR


Abstract: A 45-year-old man with a history of intravenous drug use presented with acute respiratory distress. A pulsus paradoxus of 42 mm Hg, accessory respiratory muscle use and stridor were present. Examination of the oropharynx revealed multiple 1 to 2 cm purple lesions of the gingiva and hard palate. A purple tumor mass in the posterior pharynx obstructed the view of the larynx. An emergency tracheostomy was performed resulting in hemorrhage into the respiratory tract. Autopsy revealed disseminated Kaposi's sarcoma and large blood clots in the trachea and main stem bronchus. This case illustrates the occurrence of life threatening involvement of the upper aerodigestive tract with Kaposi's sarcoma and hemorrhagic complications resulting from surgical manipulation.
Keywords: Acquired Immunodeficiency Syndrome/*COMPLICATIONS Airway Obstruction/*ETIOLOGY/SURGERY Case Report Human Male Middle Age Oropharyngeal Neoplasms/*COMPLICATIONS/PATHOLOGY Pharyngeal Neoplasms/*COMPLICATIONS Postoperative Complications Sarcoma, Kaposi's/*COMPLICATIONS/PATHOLOGY Tracheotomy JOURNAL ARTICLE

KWDacquiredimmunodeficiencysyndrome/KWDcomplicationsairwayobstruction/KWDetiology/surgerycasereporthumanmalemiddleageoropharyngealneoplasms/KWDcomplications/pathologypharyngealneoplasms/KWDcomplicationspostoperativecomplicationssarcoma,kaposi's/KWDcomplications/pathologytracheotomyjournalarticle
860130
M8610171


Copyright © 1986 - National Library of Medicine. Reproduced under license with the National Library of Medicine, Bethesda, MD.

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