A case of acute pneumonitis following talc pleurodesis: high-resolution CT findings.
Talc is one of the most effective agents for pleurodesis but it may induce serious pulmonary complication caused by pulmonary talc deposition. We describe a case of acute pneumonitis following talc pleurodesis in a 30-year-old woman who had malignant pleural effusion. Air-space consolidation and ground-glass attenuation developed in both lungs, predominantly in the ipsilateral lung, shortly after pleurodesis and were not satisfactorily explained by reexpansion pulmonary edema or pneumonia. She was started on treatment with corticosteroid. Her dyspnea rapidly improved and air-space consolidation resolved over a few months on follow-up radiographs.
Kim
Yookyung
Y
Department of Radiology and Internal Medicine, Ewha Womans University MokDong Hospital, Yang-Cheon-Ku, Seoul 158-710, Republic of Korea. yookkim@ewha.ac.kr
Kim
Yoon Kyung
YK
Choi
Moon Young
MY
Lee
Kyoung-Eun
KE
D000208:Acute Disease; D000328:Adult; D003287:Contrast Media / Q000008:administration & dosage; D003907:Dexamethasone / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D006872:Hydropneumothorax / Q000139:chemically induced; D008168:Lung / Q000000981:diagnostic imaging; D016066:Pleural Effusion, Malignant / Q000628:therapy; D018700:Pleurodesis / Q000009:adverse effects*; D011014:Pneumonia / Q000139:chemically induced* / Q000175:diagnosis* / Q000188:drug therapy; D001261:Pulmonary Atelectasis / Q000139:chemically induced; D011856:Radiographic Image Enhancement / Q000379:methods; D013627:Talc / Q000008:administration & dosage / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed / Q000379:methods*
D003287:Contrast Media; D005938:Glucocorticoids; D013627:Talc; D003907:Dexamethasone