Between scylla and charybdis: a bleomycin-exposed patient with Cohen syndrome.
Chemotherapy with bleomycin may cause a syndrome of pulmonary sensitivity to supranormal inspired oxygen concentrations that persists for an unknown period of time after exposure. We present a mentally retarded adolescent patient in whom supranormal inspired oxygen was temporarily necessary to manage her difficult airway. Subsequently her pulmonary function deteriorated acutely and, after intermittent stabilization, irreversibly. In this case, bleomycin exposure may have played a pivotal role in modulating minor insults to trigger fatal acute respiratory distress syndrome (ARDS).
Orbach-Zinger
S
S
Department of Anesthesiology, Rabin Medical Center, Beilinson Campus, Petach Tikvah, Israel.
Kaufman
E
E
Donchin
Y
Y
Perouansky
M
M
D000293:Adolescent; D001761:Bleomycin / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008607:Intellectual Disability / Q000150:complications*; D010100:Oxygen / Q000633:toxicity*; D012128:Respiratory Distress Syndrome / Q000209:etiology*; D013577:Syndrome
D001761:Bleomycin; D010100:Oxygen