An unusual case of Kaposi sarcoma masquerading as cystitis in a kidney transplant recipient

• DOI: 10.1111/tid.13132
• Publication Date: 2019-06-20T19:29:22Z
• Authors: Vinay Nair; Fatima Sheikh; David Hirschwerk; Ahmed Fahmy; Madhu Bhaskaran; Elliot Grodstein; Aaron Winnick; Robert Maki; Lewis Teperman; Ernesto Molmenti
• Keywords: Dysuria

Human Herpes Virus-8 (HHV-8) may reactivate in immunocompromised patients including recipients of solid organ transplants. Reactivation HHV-8 result Kaposi sarcoma (KS). KS typically occurs with dermatologic involvement but can affect virtually any other organ; most commonly the gastrointestinal tract. We present a diagnostically challenging case South American woman 7 months after kidney transplant. She presented recurrent urinary tract infection manifested by pelvic pain and dysuria. Imaging studies revealed bladder thickening lymphadenopathy. Findings on tissue biopsied from lymph nodes were consistent KS. Her skin was not affected. This illustrates that HHV-8-related diseases should be differential diagnosis as cause mass lesions well lymphadenopathy transplant recipients. The exemplifies need to pursue when is uncertain.