Full Text Inquiry
ePub [ahead of print] Inquiry Form:

Thank you for your interest in the full text of this ePub article. The full text of this article is not available as yet. Could you please complete and submit the brief EPub full text inquiry form given below and one of our representatives will contact you shortly with details of the article, it's availability, and price on order.

Article Detail:

Chemotherapy-induced Pulmonary Toxicity Mimicking COVID-19 Pneumonia

Background: COVID-19 generally affects the lungs by causing pneumonic infiltration. Typical Computed Tomography (CT) findings are bilateral, multifocal, peripheral, and patchy ground-glass opacities. These CT findings can also be seen in drug toxicities. Rapid and accurate differential diagnosis of COVID-19 pneumonia from Chemotherapy-Induced Pulmonary Toxicity (CPT) is essential because the treatment strategies are different. In this case report, we define the clinical and lung CT findings of two cases of CPT mimicking COVID-19 pneumonia.

Case Reports: The first patient was a 39-year-old male who was under a 5-fluorouracil + folinicacid + oxaliplatin + panitumumab (FOLFOX) treatment of regimen because of metastatic rectal cancer. The second patient was a 53-year-old male with testicular seminoma who was treated with bleomycin, etoposide, and cisplatin (BEP) protocol. Both patients presented to the emergency department with increased dyspnea after chemotherapy. Thorax CT showed similar findings to COVID-19 pneumonia. On follow-up CTs, these findings disappeared with steroid treatment as well as withdrawal of the chemotherapeutic agents and this enabled us to make a differential diagnosis. Also, two consecutive COVID-19 real-time polymerase chain reaction tests were negative in both patients.

Conclusion: When lung CT findings of the oncologic patients are similar to COVID-19 pneumonia, chemotherapy-induced pulmonary toxicity should also be considered in the differential diagnosis.

Journal Title: Current Medical Imaging

Price: $95

Inquiry Form

10 + 0 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.