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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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Pulmonology |
| Online Access: | http://dx.doi.org/10.1155/2014/546209 |
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| author | Atul C. Mehta Juan Wang Jarmanjeet Singh Joseph Cicenia |
| author_facet | Atul C. Mehta Juan Wang Jarmanjeet Singh Joseph Cicenia |
| author_sort | Atul C. Mehta |
| collection | DOAJ |
| 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 | Article |
| id | doaj-art-32efb29652454add8eae7d5f7556dd76 |
| institution | Kabale University |
| issn | 2090-6846 2090-6854 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pulmonology |
| spelling | doaj-art-32efb29652454add8eae7d5f7556dd762025-02-03T05:45:58ZengWileyCase Reports in Pulmonology2090-68462090-68542014-01-01201410.1155/2014/546209546209Iatrogenic Pulmonary Nodule in a Heart Transplant RecipientAtul C. Mehta0Juan Wang1Jarmanjeet Singh2Joseph Cicenia3Department of Pulmonary Medicine, Respiratory Institute, Cleveland Clinic, Cleveland, OH 44195, USADepartment of Pulmonary Diseases, Tiantan Hospital, Beijing 100050, ChinaMaharaja Agrasen Medical College, Agroha 125047, IndiaDepartment of Pulmonary Medicine, Respiratory Institute, Cleveland Clinic, Cleveland, OH 44195, USAA 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.http://dx.doi.org/10.1155/2014/546209 |
| spellingShingle | Atul C. Mehta Juan Wang Jarmanjeet Singh Joseph Cicenia Iatrogenic Pulmonary Nodule in a Heart Transplant Recipient Case Reports in Pulmonology |
| 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 |
| url | http://dx.doi.org/10.1155/2014/546209 |
| work_keys_str_mv | AT atulcmehta iatrogenicpulmonarynoduleinahearttransplantrecipient AT juanwang iatrogenicpulmonarynoduleinahearttransplantrecipient AT jarmanjeetsingh iatrogenicpulmonarynoduleinahearttransplantrecipient AT josephcicenia iatrogenicpulmonarynoduleinahearttransplantrecipient |