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dc.contributor.authorVofo, Brice N
dc.contributor.authorNgankam, Gaelle VF
dc.contributor.authorNgwasiri, Calypse A
dc.contributor.authorAtem, Jeannine A
dc.contributor.authorAminde, Leopold N
dc.date.accessioned2019-09-17T04:24:57Z
dc.date.available2019-09-17T04:24:57Z
dc.date.issued2018
dc.identifier.issn1752-1947
dc.identifier.doi10.1186/s13256-018-1682-3
dc.identifier.urihttp://hdl.handle.net/10072/387431
dc.description.abstractBACKGROUND: Endemic Burkitt's lymphoma is found predominantly in malaria holoendemic zones, typically in the tropical rain forest of Africa. It usually presents as an extra-nodal tumour in children and young adults with predilection for jaws and soft tissues of the abdomen. Clinical features depend on the primary tumour site, extent of the disease and histologic subtype. Acute blindness as a presentation sign is rare. CASE PRESENTATION: A 13 year old African female presented to our facility with a 3 week history of painful abdominal distention, and loss of vision of the left eye. On examination, there was a huge abdominopelvic mass, left breast mass and complete blindness of the left eye associated with mydriatic pupils non-responsive to light. An abdominal ultrasound showed a huge hypoechoic mass arising from the pelvis and protruding into the abdomen. The jaws, teeth and maxilla were all normal. A fine needle aspiration done was negative for malignant cells. A presumptive diagnosis of Burkitt's lymphoma was made on clinical grounds and abdominal ultrasound findings. The patient was immediately placed on chemotherapy and responded well to treatment with remission of the tumour but persistence of left eye blindness. CONCLUSION: Acute blindness can be the presenting sign of Burkitt's lymphoma in a patient with neither jaw nor maxillary swelling. Primary healthcare providers in low income settings require a high index of suspicion when faced with such atypical presentations. This emphasizes the need for thorough physical examination, and when possible, the clinical utility of ultrasonography for suspicious abdominal masses in the absence of state-of the art diagnostic tools for early diagnosis and treatment, which is critical for survival and to improve quality of life.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherSpringer Science and Business Media LLC
dc.relation.ispartofpagefrom129:1
dc.relation.ispartofpageto129:4
dc.relation.ispartofissue1
dc.relation.ispartofjournalJournal of Medical Case Reports
dc.relation.ispartofvolume12
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchOther health sciences
dc.subject.fieldofresearchcode3202
dc.subject.fieldofresearchcode4299
dc.subject.keywordsBlindness
dc.subject.keywordsBurkitt’s lymphoma
dc.subject.keywordsCameroon
dc.subject.keywordsCase report
dc.subject.keywordsChildhood
dc.titleAcute blindness as a presenting sign of childhood endemic Burkitt's lymphoma in Cameroon: a case report.
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationVofo, BN; Ngankam, GVF; Ngwasiri, CA; Atem, JA; Aminde, LN, Acute blindness as a presenting sign of childhood endemic Burkitt's lymphoma in Cameroon: a case report., Journal of Medical Case Reports, 2018, 12 (1), pp. 129:1-129:4
dcterms.dateAccepted2018-04-07
dcterms.licensehttp://creativecommons.org/licenses/by/4.0/
dc.date.updated2019-09-17T04:11:16Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
gro.hasfulltextFull Text
gro.griffith.authorAminde, Leopold N.


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