{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:10:25Z","timestamp":1756379425745,"version":"3.44.0"},"reference-count":6,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 50-year-old man was diagnosed as classical Hodgkin's lymphoma stage III B. He had been a reformed smoker and has had a coronary artery disease as his comorbidity. He was started on adriamycin, bleomycin, vinblastine, dacarbazine (ABVD)-based chemotherapy. An interim disease evaluation was suggestive of metabolic complete response after four cycles of ABVD. After completion of his sixth cycle, he presented with low-grade fever, dry cough, generalised malaise and increasing dyspnoea on exertion. FDG (18 fluoro-deoxyglucose) positron emission tomography (PET)-CT revealed intensely FDG avid diffuse activity in mid and lower zone both lung fields. He was started on intravenous steroids along with broad spectrum antibiotic and antifungal cover. Clinical, radiological and laboratory assays did not reveal any infective pathology. He was diagnosed as bleomycin-induced pulmonary toxicity (BIP). Despite best supportive care, his pulmonary functions deteriorated and he developed cardiac arrhythmias. He finally succumbed to the irreversible chemotherapy toxicity of a curable malignancy.<\/jats:p>","DOI":"10.1136\/bcr-2013-010388","type":"journal-article","created":{"date-parts":[[2013,6,28]],"date-time":"2013-06-28T08:19:49Z","timestamp":1372407589000},"page":"bcr2013010388","source":"Crossref","is-referenced-by-count":4,"title":["Lungs on fire"],"prefix":"10.1136","volume":"2013","author":[{"given":"Sandeep","family":"Batra","sequence":"first","affiliation":[{"name":"Department of Medical Oncology, Medanta, The Medicity, Gurgaon, Haryana, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A K","family":"Vaid","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, Medanta, The Medicity, Gurgaon, Haryana, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rahul","family":"Bhargava","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, Medanta, The Medicity, Gurgaon, Haryana, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sachin","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology, Max Hospital, Mohali, Punjab, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,6,27]]},"reference":[{"key":"2025082803472586000_2013.jun27_1.bcr2013010388.1","doi-asserted-by":"crossref","unstructured":"Jules-Elysee K White DA . 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BMJ Case Rep 2009; doi:10.1136\/bcr.11.2008.1175.","DOI":"10.1136\/bcr.11.2008.1175"},{"key":"2025082803472586000_2013.jun27_1.bcr2013010388.3","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1378\/chest.120.2.617","article-title":"Bleomycin-induced pneumonitis","volume":"2013","author":"Sleijfer","year":"2001","journal-title":"Chest"},{"key":"2025082803472586000_2013.jun27_1.bcr2013010388.4","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1093\/annonc\/mdg020","article-title":"Predicting the risk of bleomycin lung toxicity in patients with germ-cell tumours","volume":"2013","author":"O'Sullivan","year":"2003","journal-title":"Ann Oncol"},{"key":"2025082803472586000_2013.jun27_1.bcr2013010388.5","first-page":"716","article-title":"Filgrastim during combination chemotherapy of patients with poor prognosis metastatic germ cell malignancy. European Organization for Research and Treatment of Cancer, Genitourinary group and the medical research council testicular cancer working party, Cambridge, United Kingdom","volume":"2013","author":"Fossa","year":"1988","journal-title":"J Clin Oncol."},{"key":"2025082803472586000_2013.jun27_1.bcr2013010388.6","doi-asserted-by":"crossref","first-page":"2976","DOI":"10.1016\/j.ejca.2006.07.012","article-title":"Safety and efficacy of once-per-cycle pegfilgrastim in support of ABVD chemotherapy in patients with Hodgkin lymphoma","volume":"2013","author":"Younes","year":"2006","journal-title":"Eur J Cancer"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-010388","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:47:34Z","timestamp":1756378054000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-010388"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,6,27]]},"references-count":6,"alternative-id":["10.1136\/bcr-2013-010388"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-010388","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,6,27]]}}}