Multiple Cavitating Pulmonary Nodules Secondary To Hodgkin’s Lymphoma

Author: Abdul Azih, MN ; Chunn, KY
Publication Type:Original Article
Keywords: Multiple cavitating pulmonary nodules, Hodgkin’s lymphoma, bleomycin, bleomycin-induced lung injury
From: The International Medical Journal Malaysia 2017;16(2):129-131
CountryMalaysia
Language:English
Abstract: 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.