eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2020-11-27 9 1 83 87 10.12691/ajmcr-9-1-21 AJMCR20219121 article Gil Hevroni 1 Zachary Mostel 1 Samara Skwiersky 1 Adam Osman 2 Moro O. Salifu 2 Isabel M. McFarlane Isabel.McFarlane@downstate.edu 2 Department of Internal Medicine, State University of New York, Downstate Health Sciences University, Brooklyn, NY 11203, USA Department of Pathology, State University of New York, Downstate Health Sciences University, Brooklyn, NY 11203, USA The incidence of HIV-associated Hodgkin lymphoma has risen during the era of combined antiretroviral therapy (ART) despite the proven, protective effects of ART as treatment for HIV. The clinical presentation of Hodgkin Lymphoma may also resemble disseminated mycobacterial infection - in symptoms, laboratory findings, and even bone marrow biopsy. This is a case report of a patient with HIV who was suspected to have disseminated mycobacterial infection after a first bone marrow biopsy showed granulomatous inflammation and was later found to have HIV-associated Hodgkin lymphoma on a repeat biopsy. http://pubs.sciepub.com/ajmcr/9/1/21/ajmcr-9-1-21.pdf HIV hodgkin lymphoma granuloma