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CASE REPORT
Year : 2022  |  Volume : 13  |  Issue : 1  |  Page : 51-55

Adenotonsillar kaposi sarcoma with severe upper airway obstruction in acquired immunodeficiency syndrome-related disseminated disease – A case report and literature review


1 Department of ENT Surgery, Gombe State University and Federal Teaching Hospital, Gombe, Gombe State, Nigeria
2 Department of Histopathology, Gombe State University and Federal Teaching Hospital, Gombe, Gombe State, Nigeria
3 Department of Surgery, Division of ENT Surgery, Ahmadu Bello University and Ahmadu Bello University Teaching Hospital, Zaria, Kaduna State, Nigeria
4 Department of ENT Surgery, Federal Teaching Hospital, Gombe, Gombe State, Nigeria

Correspondence Address:
Dr. Oladeji Raheem Quadri
Department of ENT Surgery, Gombe State University and Federal Teaching Hospital, Gombe
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/atp.atp_12_21

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Reported cases of upper airway obstruction (UAO) due to obstructive adenotonsillar Kaposi sarcoma (KS) are rare in our environment. We report a 29-year-old human immunodeficiency virus (HIV)-positive female Nigerian who had defaulted treatment for 6 years but represented with disseminated KS and features of severe UAO that necessitated emergency tracheostomy and adenotonsillectomy. She had remarkable improvement in her breathing, feeding, and speech while being in a stable and satisfactory clinical state postoperatively until 3 days later. She suddenly deteriorated and died. Histology report of the adenoid and tonsillar tissues revealed features in keeping with KS (nodular stage). Lack of compliance with antiretroviral therapy and default from care could have facilitated the development of an aggressive KS and the rare presentation. Adherence to the management protocol of HIV infection would bring about early detection of KS, which can be promptly managed with a possible favorable outcome, thereby preventing or reducing dissemination.


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