Details

Autor(en) / Beteiligte

• Shetty, Anisha N.
• Cummings, Kristopher W.
• Gotway, Michael B.
• Jensen, Eric A.
• Jokerst, Clinton E.
• Panse, Prasad M.
• Rojas, Carlos A.

Titel

Thoracic periosteal reaction secondary to voriconazole use in an adult transplant patient

Ist Teil von

• Radiology case reports, 2024-01, Vol.19 (1), p.346-348

Ort / Verlag

Elsevier

Erscheinungsjahr

2024

Quelle

Electronic Journals Library

Beschreibungen/Notizen

• Periosteal reaction may result from multiple causes including infection, trauma, medications, and neoplasms. One important etiology that must be considered in the differential diagnosis of symmetric periosteal reaction, especially in immunocompromised patients, is voriconazole use. We present a case of a 65-year-old man who underwent liver transplantation complicated by acute hypoxic respiratory failure and Aspergillus infection. Long term voriconazole therapy was initiated with resultant development of thoracic periosteal reaction which improved following discontinuation of the medication. Given the preferential upper body distribution of periosteal reaction induced by voriconazole, chest radiologists might be the first ones to recognize this adverse effect.