A child with Non-Hodgkin Lymphoma presenting with haemorrhagic pleural effusion

Lymphoma is the third common malignancy of childhood, presenting with rapidly or slowly growing mass, systemic B symptoms (fever, night sweats and weight loss), hepatomegaly and splenomegaly. Here, we report an eight year old male child who presented with fever, dyspnoea and weight loss of three kilograms over the last month; had right pleural effusion and was investigated for both infectious and non-infectious causes and later was diagnosed as Non-Hodgkin lymphoma. It emphasizes the importance of high suspicion, especially in the presence of haemorrhagic pleural fl uid, to differentiate it from other common causes of pleural effusion in childhood.