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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...

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Detalles Bibliográficos
Autores principales: Mehta, Atul C., Wang, Juan, Singh, Jarmanjeet, Cicenia, Joseph
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
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.
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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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