Development of interstitial pneumonia during treatment with eribulin: a case report

Autor: Shigeru Tominaga, Shinichi Sasaki, Yosuke Miyashita, Kota Nakamura, Osamu Nagashima, Kazuhisa Takahashi, Motoyasu Kato
Jazyk: angličtina
Rok vydání: 2017
Předmět:
0301 basic medicine
medicine.medical_specialty
Organized pneumonia
Advanced breast
medicine.medical_treatment
lcsh:Medicine
Case Reports
General Biochemistry
Genetics and Molecular Biology

03 medical and health sciences
chemistry.chemical_compound
0302 clinical medicine
Internal medicine
Drug-induced lung toxicity
medicine
Humans
Interstitial pneumonia
Eribulin
lcsh:Science (General)
Furans
lcsh:QH301-705.5
Chemotherapy
Dry cough
business.industry
lcsh:R
General Medicine
Ketones
Middle Aged
medicine.disease
Drug-induced interstitial pneumonia
Surgery
respiratory tract diseases
030104 developmental biology
chemistry
lcsh:Biology (General)
030220 oncology & carcinogenesis
Heart failure
Female
Radiography
Thoracic

business
Lung Diseases
Interstitial

Tomography
X-Ray Computed

Carbohydrate antigen
lcsh:Q1-390
Zdroj: BMC Research Notes
BMC Research Notes, Vol 10, Iss 1, Pp 1-4 (2017)
ISSN: 1756-0500
Popis: Background Eribulin is typically used to treat patients with advanced breast cancer, and anti-cancer agents often cause the development of interstitial pneumonia in Japanese patients with advanced cancer. However, few case reports have addressed eribulin-induced interstitial pneumonia. Herein, we report a rare case of interstitial pneumonia—specifically, organized pneumonia—during treatment with eribulin in a patient with advanced breast cancer. Case presentation A 52-year-old Japanese woman was diagnosed as having advanced breast cancer 3 years before the admission described in the present report. She had received eribulin as third-line chemotherapy. Five days after her second treatment with eribulin, she was admitted to our hospital with dyspnea and dry cough. Upon admission, a chest computed tomography scan showed consolidation, with air bronchograms along the bronchovascular bundle of both lower lobes. The patient’s serum levels of sialylated carbohydrate antigen Krebs von den Lungen-6 were high, as were her surfactant protein-D levels. There was no evidence of heart failure, renal failure, or infection. Based on the clinical cause, as well as on the findings of organized pneumonia, the patient was diagnosed as having interstitial pneumonia and treated with corticosteroids. After the initiation of steroid treatment, her respiratory condition and chest radiological findings improved. Conclusions This case reveals an association between eribulin treatment and interstitial pneumonia. To our knowledge, this is the first case report to describe eribulin-induced organized pneumonia. Clinicians should be aware that interstitial pneumonia can develop during treatment with anti-cancer agents.
Databáze: OpenAIRE