Concomitant Kaposi sarcoma and multicentric Castleman's disease in a heart transplant recipient

Heart Lung. 2014 Nov-Dec;43(6):506-9. doi: 10.1016/j.hrtlng.2014.07.005. Epub 2014 Aug 29.

Abstract

Post-transplant human herpes virus -8 (HHV-8)/Kaposi sarcoma herpes virus (KSHV) infection is associated with neoplastic and non-neoplastic diseases. Kaposi sarcoma (KS), multicentric Castleman's disease (MCD), and primary effusion lymphomas (PEL) are the most common HHV-8-associated neoplastic complications described in solid organ transplant (SOT) patients. Concurrent KS and MCD have been previously described after transplantation only twice - once after liver transplantation and once after renal transplantation. We describe a unique heart transplant patient who also developed concurrent KS and MCD. To our knowledge this is the first documented case of a heart transplant recipient presenting with these two HHV-8-mediated complications at the same time.

Keywords: HHV-8; Heart transplant; KS; MCD.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Castleman Disease / pathology
  • Castleman Disease / virology*
  • Heart Transplantation / adverse effects*
  • Herpesviridae Infections / physiopathology
  • Herpesvirus 8, Human / isolation & purification*
  • Humans
  • Male
  • Sarcoma, Kaposi / pathology
  • Sarcoma, Kaposi / virology*
  • Transplant Recipients

Supplementary concepts

  • Multi-centric Castleman's Disease