SHORT REPORT
Pseudo-Gaucher cells in mycobacterial infection: a report of two cases
1 Division of Haematology-Oncology, Department of Internal Medicine, Chang Gung Memorial Hospital, 199 Tung Hwa North Road, Taipei 105, Taiwan
2 Department of Pathology, Chang Gung Memorial Hospital
3 School of Medicine, Chang Gung University
Correspondence to:
Correspondence to:
Dr P Dunn
Division of Haematology-Oncology, Department of Internal Medicine, Chang Gung Memorial Hospital, 199 Tung Hwa North Road, Taipei 105, Taiwan; dunnpo{at}adm.cgmh.org.tw
This report describes two cases of mycobacterial infection with pseudo-Gaucher cells. Both patients had no clinical evidence of inherited Gaucher disease. The first case was a patient with AIDS and Mycobacterium avium intracellulare involving the lung, spleen, and bone marrow. The bone marrow aspirates showed many histiocytes with needle-like inclusions. Acid fast staining showed that these histiocytes contained acid fast bacilli. Bone marrow biopsies revealed granulomatous lesions with aggregates of foamy histiocytes. The second case was an alcoholic patient with Mycobacteriumkanasassi infection involving the lung and lymph nodes. The lymph node aspirates showed infiltration of the same cells with acid fast bacilli in the cytoplasm.
Abbreviations: AFB, acid fast bacilli; HIV, human immunodeficiency virus
Keywords: pseudo-Gaucher cells; acquired immunodeficiency syndrome; Mycobacterium avium intracellulare; Mycobacterium kanasassi; granulomatous lesions
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