Indian Journal of Respiratory Care

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VOLUME 11 , ISSUE 4 ( October-December, 2022 ) > List of Articles

CASE REPORT

Hodgkin's Lymphoma in a Milky Way

Hasna Erattengal, C. Nandish

Keywords : Chylothorax, Hodgkin's lymphoma, tuberculosis

Citation Information : Erattengal H, Nandish C. Hodgkin's Lymphoma in a Milky Way. Indian J Respir Care 2022; 11 (4):389-391.

DOI: 10.4103/ijrc.ijrc_120_22

License: CC BY-NC-SA 4.0

Published Online: 01-12-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Chylothorax refers to the accumulation of chyle in the pleural space. The most common cause of nontraumatic chylothorax is tuberculosis, malignancy, and congenital causes. We share a case of bilateral chylothorax in a 24-year-old male patient admitted with complaints of fever, dry cough, and dyspnea, initially suspected of tuberculosis. The effusion was drained, and a biochemical test revealed chylothorax. Chest radiograph showed widening of mediastinum. Contrast-enhanced computed tomography done revealed lobulated anterior and superior mediastinal mass lesion possibility of lymphoma. Excision biopsy of the lymph node was done, and the biopsy report revealed histological features consistent with the malignant lymphoproliferative process in favor of the nodular sclerosis variant of classic Hodgkin's disease. This case reveals bilateral chylothorax as the first manifestation in a young male patient of Hodgkin's lymphoma. Early suspicion and systematic diagnosis provide good outcome.


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