• Internal medicine · Jan 2023

    Review Case Reports

    Aortitis Associated with Prophylactic Short-acting Granulocyte Colony-stimulating Factor Administration: A Case Report and Review of the Literature.

    • Yasutaka Masuda, Takashi Oyama, Kumi Nakazaki, Yudai Nakai, Ken Sasaki, Kensuke Matsuda, Yosuke Masamoto, and Mineo Kurokawa.
    • Department of Hematology and Oncology, Graduate School of Medicine, The University of Tokyo, Japan.
    • Intern. Med. 2023 Jan 1; 62 (11): 164716521647-1652.

    AbstractWe herein report an 83-year-old woman with filgrastim-associated aortitis during chemotherapy for relapsed diffuse large B-cell lymphoma. She had been treated with filgrastim as a prophylaxis for neutropenia during the fourth cycle of chemotherapy from day 9 to 18. On day 21, she developed a fever. Contrast-enhanced computed tomography revealed aortitis of the descending aorta. The fever abated with non-steroidal anti-inflammatory drug treatment. A literature review identified a small number of aortitis cases all caused by prophylactic use of granulocyte colony-stimulating factors (G-CSFs), among which short-acting filgrastim was rarely encountered. The present and previous findings imply a possible relationship between aortitis and prophylactic G-CSF usage.

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