Abstract
Objective: To report a case of oxaliplatin-combined chemotherapy-induced interstitial lung disease. Clinical Presentation and Intervention: A 57-year-old man was referred complaining of dyspnea and fever after treatment with an oxaliplatin-combined chemotherapeutic agent for metastatic colorectal cancer. Fever development and spontaneous subsidence were observed during the chemotherapeutic course repeatedly until the 9th cycle. A computer-tomographic (CT) scan revealed bilateral, peripherally distributed, patchy consolidation suggestive of an interstitial lung disease. As a confirmative step, video-assisted thoracoscopic surgical biopsy was attempted; the characteristic intraluminal organizing fibrous plug in the bronchioles and alveoli was seen. Corticosteroid therapy was administered, which rapidly improved the patient's symptoms and chest CT findings. Conclusion: This case showed that oxaliplatin may be implicated in the etiology of interstitial lung disease, since withdrawal of the drug resulted in improvement of interstitial lung disease.
Original language | English |
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Pages (from-to) | 89-92 |
Number of pages | 4 |
Journal | Medical Principles and Practice |
Volume | 21 |
Issue number | 1 |
DOIs | |
Publication status | Published - 2011 Dec |
Externally published | Yes |
Keywords
- Interstitial pneumonia
- Organizing pneumonia
- Oxaliplatin
- Pulmonary toxicity
ASJC Scopus subject areas
- Medicine(all)