Delayed onset bleomycin-induced pneumonitis


Uzel I., Ozguroglu M., Uzel B., Kaynak K., Demirhan O., Akman C., ...More

UROLOGY, vol.66, no.1, 2005 (SCI-Expanded, Scopus)

  • Publication Type: Article / Article
  • Volume: 66 Issue: 1
  • Publication Date: 2005
  • Doi Number: 10.1016/j.urology.2005.01.038
  • Journal Name: UROLOGY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Istanbul University Affiliated: Yes

Abstract

We describe a 39-year-old male patient who developed bleomycin-induced pneumonitis 2 years after completion of chemotherapy for nonseminomatous testicular cancer. Bleomycin sometimes causes fatal pulmonary toxicity, including bleomycin-induced pneumonitis. The central event in the development of pneumonitis is endothelial damage of the lung vasculature due to bleomycin-induced cytokines and free radicals. Pulmonary toxicity usually begins at bleomycin administration. The development of bleomycin-induced pneumonitis up to 6 months after bleomycin therapy has also been reported. We report a patient who developed bleomycin-induced pneumonitis 2 years after the initiation of bleomycin-containing chemotherapy regimens.