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Iatrogenic Pulmonary Nodule in a Heart Transplant Recipient
A 58-year-old female with a history of non-Hodgkin lymphoma and end-stage nonischemic cardiomyopathy from Adriamycin toxicity underwent orthotic heart transplantation during June 2013. She developed shortness of breath in September 2013 and was suspected to have invasive pulmonary aspergillosis. A f...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4227358/ https://www.ncbi.nlm.nih.gov/pubmed/25405052 http://dx.doi.org/10.1155/2014/546209 |
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author | Mehta, Atul C. Wang, Juan Singh, Jarmanjeet Cicenia, Joseph |
author_facet | Mehta, Atul C. Wang, Juan Singh, Jarmanjeet Cicenia, Joseph |
author_sort | Mehta, Atul C. |
collection | PubMed |
description | A 58-year-old female with a history of non-Hodgkin lymphoma and end-stage nonischemic cardiomyopathy from Adriamycin toxicity underwent orthotic heart transplantation during June 2013. She developed shortness of breath in September 2013 and was suspected to have invasive pulmonary aspergillosis. A flexible bronchoscopy (FB) with a transbronchial biopsy (TBBx) was performed. She was found to have a focal lung nodule in the same location at the site of the TBBx on day 13 after the FB. Spontaneous resolution of the nodule was confirmed on the computed tomography (CT) scan of chest performed at 3 months. We believe that this nodule was as a consequence of the TBBx. Formation of a peripheral pulmonary nodule (PPN) following a TBBx is occasionally encountered among the recipients of the lung transplantation. To our knowledge, this is the first case of TBBx producing a pulmonary nodule in a heart transplant recipient. Physicians caring for the patients with heart transplantation should be cognizant of the iatrogenic nature of such nodule to avoid unnecessary diagnostic work-up. |
format | Online Article Text |
id | pubmed-4227358 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-42273582014-11-17 Iatrogenic Pulmonary Nodule in a Heart Transplant Recipient Mehta, Atul C. Wang, Juan Singh, Jarmanjeet Cicenia, Joseph Case Rep Pulmonol Case Report A 58-year-old female with a history of non-Hodgkin lymphoma and end-stage nonischemic cardiomyopathy from Adriamycin toxicity underwent orthotic heart transplantation during June 2013. She developed shortness of breath in September 2013 and was suspected to have invasive pulmonary aspergillosis. A flexible bronchoscopy (FB) with a transbronchial biopsy (TBBx) was performed. She was found to have a focal lung nodule in the same location at the site of the TBBx on day 13 after the FB. Spontaneous resolution of the nodule was confirmed on the computed tomography (CT) scan of chest performed at 3 months. We believe that this nodule was as a consequence of the TBBx. Formation of a peripheral pulmonary nodule (PPN) following a TBBx is occasionally encountered among the recipients of the lung transplantation. To our knowledge, this is the first case of TBBx producing a pulmonary nodule in a heart transplant recipient. Physicians caring for the patients with heart transplantation should be cognizant of the iatrogenic nature of such nodule to avoid unnecessary diagnostic work-up. Hindawi Publishing Corporation 2014 2014-10-27 /pmc/articles/PMC4227358/ /pubmed/25405052 http://dx.doi.org/10.1155/2014/546209 Text en Copyright © 2014 Atul C. Mehta et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Mehta, Atul C. Wang, Juan Singh, Jarmanjeet Cicenia, Joseph Iatrogenic Pulmonary Nodule in a Heart Transplant Recipient |
title | Iatrogenic Pulmonary Nodule in a Heart Transplant Recipient |
title_full | Iatrogenic Pulmonary Nodule in a Heart Transplant Recipient |
title_fullStr | Iatrogenic Pulmonary Nodule in a Heart Transplant Recipient |
title_full_unstemmed | Iatrogenic Pulmonary Nodule in a Heart Transplant Recipient |
title_short | Iatrogenic Pulmonary Nodule in a Heart Transplant Recipient |
title_sort | iatrogenic pulmonary nodule in a heart transplant recipient |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4227358/ https://www.ncbi.nlm.nih.gov/pubmed/25405052 http://dx.doi.org/10.1155/2014/546209 |
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