Multiple Cavitating Pulmonary Nodules Secondary To Hodgkin’s Lymphoma
Author(s) -
Abdul Azih MN,
Rahman Aa,
Hin HS,
Chunn KY,
Kori AN
Publication year - 2017
Publication title -
iium medical journal malaysia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.139
H-Index - 9
eISSN - 2735-2285
pISSN - 1823-4631
DOI - 10.31436/imjm.v16i2.341
Subject(s) - medicine , bleomycin , pulmonary fibrosis , abvd , lymphoma , radiology , pneumonia , mediastinal lymphadenopathy , lung , biopsy , thorax (insect anatomy) , lymph node biopsy , pneumoconiosis , pathology , chemotherapy , surgery , vincristine , anatomy , cyclophosphamide
We report a 26-year old lady who presented with chronic cough and breathlessness associated with subtle TB symptoms for 1 year. Her CT thorax showed multiple cavitating pulmonary nodules with mediastinal and cervical lymphadenopathy. Cervical lymph node biopsy and CT-guided pulmonary biopsy at our centre confirmed the diagnosis of Hodgkin’s lymphoma with pulmonary infiltrations. She was successfully treated with ABVD regime but later developed life-threatening bleomycin-induced pulmonary fibrosis. Sadly, she succumbed to respiratory failure due to severe pneumonia with possibility of bleomycin-induced pulmonary fibrosis. Multiple cavitating pulmonary nodules secondary to lymphoma is rare and in TB endemic area, it may result in delayed diagnosis and treatment.
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