Multiple cavitating pulmonary nodules secondary to Hodgkin's lymphoma

We report a 26-year old lady who presented with chronic cough and breathlessness associated with subtle TB symptoms for 1 year. Her CT thorax showed multiple cavitating pulmonary nodules with mediastinal and cervical lymphadenopathy. Cervical lymph node biopsy and CT-guided pulmonary biopsy at our...

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Bibliographic Details
Main Authors: Abdul Azih, Muhammad Naimuddin, Abd Rahman, Azlina, Hin, Howsoon, Chunn, Kuan Yeh
Format: Article
Language:English
English
Published: International Islamic University Malaysia 2017
Subjects:
Online Access:http://irep.iium.edu.my/62983/
http://irep.iium.edu.my/62983/
http://irep.iium.edu.my/62983/1/62983_Multiple%20cavitating%20pulmonary%20nodules%20_article.pdf
http://irep.iium.edu.my/62983/2/62983_Multiple%20cavitating%20pulmonary%20nodules%20_scopus.pdf
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Summary:We report a 26-year old lady who presented with chronic cough and breathlessness associated with subtle TB symptoms for 1 year. Her CT thorax showed multiple cavitating pulmonary nodules with mediastinal and cervical lymphadenopathy. Cervical lymph node biopsy and CT-guided pulmonary biopsy at our centre confirmed the diagnosis of Hodgkin’s lymphoma with pulmonary infiltrations. She was successfully treated with ABVD regime but later developed life-threatening bleomycin-induced pulmonary fibrosis. Sadly, she succumbed to respiratory failure due to severe pneumonia with possibility of bleomycin-induced pulmonary fibrosis. Multiple cavitating pulmonary nodules secondary to lymphoma is rare and in TB endemic area, it may result in delayed diagnosis and treatment.