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Clin Transl Oncol ; 7(11): 515-7, 2005 Dec.
Article in English | MEDLINE | ID: mdl-16373064

ABSTRACT

Progressive respiratory failure developed in a 68 year-old female who was treated with single-agent oxaliplatin for colorectal cancer. Only one cycle of 5-fluorouracil had been previously administered. Computed tomography of the chest showed lesions that suggested pulmonary fibrosis. There was an unfavourable response to treatment with corticosteroids, antimicrobial and antifungical agents. Lung biopsy findings were compatible with interstitial pneumonitis. The patient died 20 days after admission due to irreversible respiratory failure. This is the first case reported in the literature of interstitial pneumonitis related to single-agent oxaliplatin administration.


Subject(s)
Adenocarcinoma/drug therapy , Antineoplastic Agents, Alkylating/adverse effects , Colonic Neoplasms/drug therapy , Lung Diseases, Interstitial/chemically induced , Organoplatinum Compounds/adverse effects , Adenocarcinoma/surgery , Aged , Antimetabolites, Antineoplastic/adverse effects , Antimetabolites, Antineoplastic/therapeutic use , Antineoplastic Agents, Alkylating/therapeutic use , Chemotherapy, Adjuvant , Colectomy/methods , Colonic Neoplasms/surgery , Combined Modality Therapy , Fatal Outcome , Female , Fluorouracil/adverse effects , Fluorouracil/therapeutic use , Gastrointestinal Diseases/chemically induced , Humans , Leucovorin/administration & dosage , Lung Diseases, Interstitial/drug therapy , Lung Diseases, Interstitial/therapy , Organoplatinum Compounds/administration & dosage , Oxaliplatin , Prednisone/therapeutic use , Respiration, Artificial , Respiratory Insufficiency/etiology
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