Drug-induced aortitis in a patient with ovarian cancer treated with bevacizumab combination therapy

Objective: To review and evaluate drug-induced vasculitis, which is an extremely rare complication of chemotherapy. Case report: A 47-year-old woman with ovarian cancer developed aortitis during bevacizumab combination chemotherapy. Contract-enhanced CT showed concentric thickening of the descending...

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Main Authors: Kengo Hiranuma (Author), Soshi Kusunoki (Author), Kazunari Fujino (Author), Takashi Hirayama (Author), Tsuyoshi Ota (Author), Yasuhisa Terao (Author)
Format: Book
Published: Elsevier, 2018-10-01T00:00:00Z.
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Summary:Objective: To review and evaluate drug-induced vasculitis, which is an extremely rare complication of chemotherapy. Case report: A 47-year-old woman with ovarian cancer developed aortitis during bevacizumab combination chemotherapy. Contract-enhanced CT showed concentric thickening of the descending aorta. Antibiotics were administered, but a repeat CE-CT scan showed no resolution of the aortitis. To treat the aortitis, she was started on oral prednisolone. A subsequent CE-CT scan showed no signs of aortitis. She was thus re-started on a modified chemotherapy regimen. Conclusion: Aortitis should be considered in patients receiving bevacizumab combination therapy who develop persistent fever and upper-abdominal pain. Contrast-enhanced CT is useful for detecting drug-induced aortitis. Keywords: Aortitis, Ovarian cancer, Bevacizumab, G-CSF
Item Description:1028-4559
10.1016/j.tjog.2018.08.026