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Revista Habanera de Ciencias Médicas

On-line version ISSN 1729-519X


ALCALA VILLALON, Tahamara; OLIVA VENEREO, Dinorah de la Caridad  and  PEREZ LOPEZ, Albadio Samir. Hemorrhagic tonsillitis as a presentation of Kaposi's sarcoma. Rev haban cienc méd [online]. 2019, vol.18, n.2, pp.241-253. ISSN 1729-519X.


Lesions in the oral cavity can be the first clinical evidences of HIV infection. Hemorrhagic tonsillitis should be suspicious of a Kaposi's sarcoma, among other causes. Kaposi's sarcoma (KS) is considered a marker of AIDS in HIV infection, which mainly affects the skin, but often acts upon the mucosa of the oral cavity.


To identify hemorrhagic tonsillitis as a form of presentation of Kaposi's sarcoma associated to HIV.

Case presentation:

A 22-year-old male patient comes to the doctor´s office complaining of odynophagia and dysphagia. Hypertrophic tonsils of hemorrhagic aspect are observed in the laryngoscopy. Systemic cause is suspected, mainly, an HIV infection. A clinical onset of AIDS as a result of KS with predominant lesions in the oral cavity including the tonsils is confirmed.


The hemorrhagic characteristics of tonsillitis leads to a presumptive diagnostic of HIV infection with a Kaposi's sarcoma occurring predominantly in the oral cavity.

Keywords : Tonsillitis; HIV; AIDS; Kaposi's sarcoma.

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