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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第一作者:
第一作者机构:[1]Department of Pulmonary Medicine, Respiratory Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
推荐引用方式(GB/T 7714):
Mehta Atul C,Wang Juan,Singh Jarmanjeet,et al.Iatrogenic pulmonary nodule in a heart transplant recipient.[J].Case reports in pulmonology.2014,2014:546209.doi:10.1155/2014/546209.
APA:
Mehta Atul C,Wang Juan,Singh Jarmanjeet&Cicenia Joseph.(2014).Iatrogenic pulmonary nodule in a heart transplant recipient..Case reports in pulmonology,2014,
MLA:
Mehta Atul C,et al."Iatrogenic pulmonary nodule in a heart transplant recipient.".Case reports in pulmonology 2014.(2014):546209