, Volume 86, Issue 9, pp 687-690
Date: 05 Apr 2007

A case of complete heart block reverting to normal sinus rhythm after treatment for cardiac invasive Burkitt’s lymphoma

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Dear Editor,

A 42-year-old man was transferred to our hospital after presenting with syncope. Approximately 3 and 6 weeks before admission, the patient had been involved in two separate fights resulting in significant facial injury and swelling. The patient did not seek immediate medical attention but persistent pain prompted evaluation at our hospital 10 days before the relevant admission. At that time, a computed tomography (CT) of the head and facial bones demonstrated facial fractures and an expansile opacification of the right maxillary sinus with erosive change of the adjacent osseous structures and contiguous abnormal soft tissue extending into the periantral fat and extraconal orbit (Fig. 1a). The radiographic differential was an infected mucocele with concomitant osteomyelitis versus a neoplastic process, and thus, biopsy was recommended. The patient was taken to the operating room, and a biopsy of the mass was performed. He was given antibiotics for a presumed infected mucocel ...