A Rare Case of Septic Pulmonary Embolism Caused by Infection-associated Catheter Removal in a Patient with Hodgkin's Lymphoma

  • Morichika Kazuho
    Division of Endocrinology, Diabetes and Metabolism, Hematology, Rheumatology (The Second Department of Medicine), Ryukyu University Hospital, Japan
  • Nakachi Sawako
    Division of Endocrinology, Diabetes and Metabolism, Hematology, Rheumatology (The Second Department of Medicine), Ryukyu University Hospital, Japan
  • Tomoyose Takeaki
    Division of Endocrinology, Diabetes and Metabolism, Hematology, Rheumatology (The Second Department of Medicine), Ryukyu University Hospital, Japan
  • Shimabukuro Natsuki
    Division of Endocrinology, Diabetes and Metabolism, Hematology, Rheumatology (The Second Department of Medicine), Ryukyu University Hospital, Japan
  • Tamaki Keita
    Division of Endocrinology, Diabetes and Metabolism, Hematology, Rheumatology (The Second Department of Medicine), Ryukyu University Hospital, Japan
  • Tedokon Iori
    Division of Endocrinology, Diabetes and Metabolism, Hematology, Rheumatology (The Second Department of Medicine), Ryukyu University Hospital, Japan
  • Nishi Yukiko
    Division of Endocrinology, Diabetes and Metabolism, Hematology, Rheumatology (The Second Department of Medicine), Ryukyu University Hospital, Japan
  • Hyakuna Nobuyuki
    Center of Bone Marrow Transplantation, Graduate School of Medicine, University of the Ryukyus, Japan
  • Fukushima Takuya
    Laboratory of Hematoimmunology, School of Health Sciences, Faculty of Medicine, University of the Ryukyus, Japan
  • Masuzaki Hiroaki
    Division of Endocrinology, Diabetes and Metabolism, Hematology, Rheumatology (The Second Department of Medicine), Ryukyu University Hospital, Japan

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Abstract

As a reflection of the considerable increase in the number of cancer patients treated with chemotherapy, indications for the use of implanted venous catheters are rapidly growing. However, in some cases, implanted venous catheters induce unwelcome complications. We herein report a rare case of septic pulmonary embolism (SPE) caused by local infection-associated catheter removal during the administration of ABVd combination chemotherapy consisting of adriamycin, bleomycin, vinblastine and dacarbazine in a patient with Hodgkin's lymphoma of the mixed cellularity type. During the course of treatment with chemotherapy administered via implanted venous catheters, think it is crucial to monitor for the potential occurrence of SPE.<br>

Journal

  • Internal Medicine

    Internal Medicine 53 (11), 1215-1220, 2014

    The Japanese Society of Internal Medicine

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