Multiple cavitating pulmonary nodules secondary to Hodgkin's lymphoma

• Main Authors: Abdul Azih, Muhammad Naimmuddin, Abd Rahman, Azlina, How, Soon Hin, Chunn, Kuan Yeh
• Format: Article
• Language: English; English
• Published: International Islamic University Malaysia 2017
• Subjects: RC Internal medicine; RC620 Specialties of Internal Medicine-Nutritional Diseases
• Online Access: http://irep.iium.edu.my/62983/1/62983_Multiple%20cavitating%20pulmonary%20nodules%20_article.pdf; http://irep.iium.edu.my/62983/2/62983_Multiple%20cavitating%20pulmonary%20nodules%20_scopus.pdf; http://irep.iium.edu.my/62983/; http://iiumedic.net/imjm/v1/download/volume_16_no_2/IMJM-Vol16-No2-129131.pdf

We report a 26-year old lady who presented with chronic cough and breathlessness associated with subtle TB symptoms for 1 year. Her CT thorax showed multiple cavitating pulmonary nodules with mediastinal and cervical lymphadenopathy. Cervical lymph node biopsy and CT-guided pulmonary biopsy at our centre confirmed the diagnosis of Hodgkin’s lymphoma with pulmonary infiltrations. She was successfully treated with ABVD regime but later developed life-threatening bleomycin-induced pulmonary fibrosis. Sadly, she succumbed to respiratory failure due to severe pneumonia with possibility of bleomycin-induced pulmonary fibrosis. Multiple cavitating pulmonary nodules secondary to lymphoma is rare and in TB endemic area, it may result in delayed diagnosis and treatment.