[A Case of Pneumocystis Pneumonia after Cetuximab-based Bioradiotherapy]

Nihon Jibiinkoka Gakkai Kaiho. 2016 Mar;119(3):204-9. doi: 10.3950/jibiinkoka.119.204.
[Article in Japanese]

Abstract

Reports of drug-induced interstitial pneumonia caused by Cetuximab have been increasing. Pneumocystis pneumonia is important as a differential diagnosis of drug-induced interstitial pneumonia. We report herein on a 64-year-old man with pneumocystis pneumonia after cetuximab-based bioradiotherapy for laryngeal cancer. After radiotherapy, the patient developed multi-drug resistant pneumonia. Chest CT imaging revealed diffuse ground-glass opacities in the lung field. He was diagnosed as having pneumocystis pneumonia based on the bronchoalveolar lavage (BAL) findings, and then his symptoms improved after treatment with Trimethoprim/Sulfamethoxazole. It is important to assess the risk factor for pneumocystis pneumonia for early its detection and treatment.

Publication types

  • Case Reports

MeSH terms

  • Cetuximab / adverse effects*
  • Cetuximab / therapeutic use
  • Chemoradiotherapy / adverse effects*
  • Humans
  • Laryngeal Neoplasms / therapy*
  • Male
  • Middle Aged
  • Pneumonia, Pneumocystis / diagnostic imaging
  • Pneumonia, Pneumocystis / etiology*
  • Risk Factors
  • Tomography, X-Ray Computed

Substances

  • Cetuximab