Iranian Journal of Otorhinolaryngology (Mar 2024)

Tonsillar Kaposi’s Sarcoma in HIV Positive Patient with Syphilis Infection

  • Francesco Lorusso,
  • Salvatore Di Vincenzo,
  • Valerio Campofiorito,
  • Federico Sireci,
  • Angelo Immordino,
  • Francesco Dispenza

DOI
https://doi.org/10.22038/ijorl.2024.72743.3463
Journal volume & issue
Vol. 36, no. 2
pp. 437 – 441

Abstract

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Introduction: Since the introduction of Highly Active Anti-Retroviral Therapy (HAART), there has been a significant increase in the survival of HIV-infected patients. Consequently, there has been increased attention on the potential neoplastic pathologies, such as Kaposi’s sarcoma, associated with AIDS in these individuals. Case Report: In this case report we present, for the first time, a patient affected by Kaposi's sarcoma of the palatine tonsil with a concomitant syphilis infection. The patient underwent enlarged tonsillectomy and continued antiretroviral therapy. There were no signs of disease recurrence at a 12-month follow-up. Conclusions: Despite the rarity of tonsillar localization of Kaposi's sarcoma, it should be suspected in the presence of an HIV-infected patient. Tonsillectomy effectively controls local disease, but comprehensive patient management requires a multidisciplinary team of healthcare professionals, including infectious disease specialists, pathologists, and oncologists who work together to provide high-quality and coordinated care.

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