Rapid Airway Narrowing Associated with Hodgkin’s Lymphoma, a Case Report

doi:https://doi.org/10.21980/J86D3Q

Rapid Airway Narrowing Associated with Hodgkin’s Lymphoma, a Case Report

Luke Hoffmann, BS^* and Toby Myatt, MD^*

^*University of California, Irvine, Department of Emergency Medicine, Orange, CA

Correspondence should be addressed to Toby Myatt, MD at myattt@hs.uci.edu

DOI: https://doi.org/10.21980/J86D3Q Issue 5:2

Hematology/Oncology Respiratory Visual EM

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ABSTRACT:

Hodgkin’s lymphoma is a neoplastic proliferation of Reed Sternberg cells and inflammatory cells within the lymphatic system. Common symptoms associated with Hodgkin’s Lymphoma include pronounced lymphadenopathy, fever, polynuclear leukocytosis, and anemia.¹^,² This case study presents a unique case where an adult patient with nodular sclerosing Hodgkin’s lymphoma (NSHL) presents with rapidly progressing dyspnea due to tracheal airway narrowing. CT results showed pathological lymph nodes in bilateral cervical stations, subclavian images and within the mediastinum, concerning for lymphoproliferative disease. Otolaryngology was consulted for a possible tracheostomy; however, an awake fiberoptic intubation was suggested and subsequently performed instead. This case demonstrates the importance of immediate intervention to prevent airway loss in an atypical presentation of NSHL.