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Drug-induced lung injury caused by acetaminophen in a Japanese woman: A case report

BACKGROUND: All drugs have the potential to cause drug-induced lung injury both during and after drug administration. Acetaminophen has been reported to cause drug-induced lung injury, although this is extremely rare. Herein, we present an extremely rare case of acetaminophen-induced pneumonia. CASE...

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Detalles Bibliográficos
Autores principales: Fujii, Masayoshi, Kenzaka, Tsuneaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9516906/
https://www.ncbi.nlm.nih.gov/pubmed/36186171
http://dx.doi.org/10.12998/wjcc.v10.i27.9936
Descripción
Sumario:BACKGROUND: All drugs have the potential to cause drug-induced lung injury both during and after drug administration. Acetaminophen has been reported to cause drug-induced lung injury, although this is extremely rare. Herein, we present an extremely rare case of acetaminophen-induced pneumonia. CASE SUMMARY: A healthy 35-year-old Japanese woman visited a neighborhood clinic with complaints of fever and malaise following a tick bite. Her treatment included 1,500 mg acetaminophen (Caronal(®)) and subsequently minocycline (200 mg) and acetaminophen (2,000 mg; Caronal(®)) daily when her condition did not improve; the patient was eventually hospitalized. The patient’s chest computed tomography (CT) revealed consolidation and ground-glass opacities in the right middle and lower lobes. Minocycline was shifted to sulbactam/ampicillin. However, her fever did not improve during follow-up, and her chest CT revealed extensive ground-glass opacities in the right middle and lower lobes and thick infiltrative shadows in the bilateral basal areas. Drug-induced lung injury was suspected; hence, acetaminophen was discontinued. The fever resolved immediately, and inflammatory response and respiratory imaging findings improved. A drug-induced lymphocyte stimulation test was performed against acetaminophen (Caronal(®)), and significant proliferation of lymphocytes was noted only for acetaminophen (stimulation index, 2.1). CONCLUSION: Even common drugs such as over-the-counter drugs can cause drug-induced lung damage.