Methicillin-resistant Staphylococcus aureus Necrotizing Bronchitis after Radiotherapy in Combination with Axitinib

A 38-year-old man with renal cell carcinoma was referred to our hospital because of a productive cough. He had received radiotherapy for lung metastasis and been treated with axitinib. Bronchoscopy revealed necrosis in the bronchi of the right middle and lower lobes. Culture of the necrotic bronchia...

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Veröffentlicht in:Internal Medicine 2022/10/01, Vol.61(19), pp.2931-2934
Hauptverfasser: Nakatsumi, Hiroki, Watanabe, Satoshi, Gohara, Kazuki, Kobayashi, Takafumi, Takeda, Yoshihiro, Kasahara, Kazuo, Yano, Seiji
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container_end_page 2934
container_issue 19
container_start_page 2931
container_title Internal Medicine
container_volume 61
creator Nakatsumi, Hiroki
Watanabe, Satoshi
Gohara, Kazuki
Kobayashi, Takafumi
Takeda, Yoshihiro
Kasahara, Kazuo
Yano, Seiji
description A 38-year-old man with renal cell carcinoma was referred to our hospital because of a productive cough. He had received radiotherapy for lung metastasis and been treated with axitinib. Bronchoscopy revealed necrosis in the bronchi of the right middle and lower lobes. Culture of the necrotic bronchial specimen revealed methicillin-resistant Staphylococcus aureus (MRSA). Although radiotherapy in combination with axitinib carries a risk of causing airway toxicity, MRSA necrotizing bronchitis has not been reported. Physicians should consider the possibility of infectious necrotizing bronchitis if irradiated patients show prolonged respiratory symptoms.
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subjects angiogenesis inhibitor
axitinib
Bronchitis
Bronchoscopy
Bronchus
Case Report
Cell culture
Cough
Drug resistance
Internal medicine
Metastases
Methicillin
MRSA
necrotizing bronchitis
Radiation therapy
radiotherapy
Renal cell carcinoma
Staphylococcus aureus
Toxicity
title Methicillin-resistant Staphylococcus aureus Necrotizing Bronchitis after Radiotherapy in Combination with Axitinib
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