Case report: a cataract induced by bleomycin in a patient with testicular cancer

BackgroundBleomycin is a glycopeptide antibiotic with outstanding anti-tumor effects. A major adverse effect of bleomycin is lung fibrosis. However, the development of cataracts as a severe adverse effect has not been reported.Case summaryHerein, we describe the first case of cataract induced by ble...

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Main Authors: Wan Zhang (Author), Yinghua Ji (Author), Yufei Sun (Author), Keya Zhi (Author), Han Yang (Author), Min Zhang (Author), Ping Lu (Author), Yana Zhang (Author)
Format: Book
Published: Frontiers Media S.A., 2024-06-01T00:00:00Z.
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Summary:BackgroundBleomycin is a glycopeptide antibiotic with outstanding anti-tumor effects. A major adverse effect of bleomycin is lung fibrosis. However, the development of cataracts as a severe adverse effect has not been reported.Case summaryHerein, we describe the first case of cataract induced by bleomycin therapy in a 22-year-old male with testicular cancer. After surgical intervention and following five successive chemotherapy cycles of the BEP regimen, including bleomycin, etoposide and cisplatin, the patient reported a gradual painless loss of vision, with substantial decline in visual ability, especially in the right eye. Following comprehensive eye examinations, a cataract was diagnosed. Eventually, the patient underwent phacoemulsification and received replacement of the intraocular lenses.ConclusionBleomycin can cause cataracts, which induces a significant loss of vision. Therefore, clinicians should observe early symptoms and properly adjust treatment to prevent aggravation of symptoms.
Item Description:1663-9812
10.3389/fphar.2024.1339662