Keechilat Pavithran

Department of Medical Oncology, Amrita Institute of Medical Science and Research Center, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India

Publications

• Research   
  Asian Variant of Intra Vascular Large B cell Lymphoma of the Ad-Renal Glands with CNS Relapse-A Case Report
  Author(s): Sreelakshmy Baby Sarojam, Indu R Nair, Arun Philip and Keechilat Pavithran*
  
  A 57-year-old gentleman presented with recurrent episodes of lowgrade fever, fatigue, and headache. Initial blood investigations showed pancytopenia with a serial decrease in counts. A laboratory workup ruled out infective pathology. Further, bone marrow aspiration was inconclusive. Provisionally, he was diagnosed with probable macrophage activation syndrome and was therefore pulsed with steroids. Subsequently, he showed improvement and was later discharged. However, after two weeks, he was readmitted with altered sensorium and lethargy. As his condition was found to be gradually deteriorating, a positron emission tomography-computed tomography was done; it showed significantly enlarged bilateral adrenal glands. Adrenal biopsy confirmed that it was non-Hodgkin’s lymphoma, specifically Intravascular Large B-Cell Lymphoma (IVLBCL). Afterwards, he was treated with R-CHOP, followed .. Read More»
  

  Abstract PDF