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Aortitis triggered by granulocyte-colony stimulating factor.

Andreas Gaustad1, Marthe Halsan Liff2, Aleksander Nordberg Nørgaard3

  • 1Medisinsk avdeling, Diakonhjemmet sykehus, Oslo.

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|April 24, 2025
PubMed
Summary
This summary is machine-generated.

Granulocyte-colony stimulating factor (G-CSF) can cause aortitis in lymphoma patients, presenting as fever and elevated CRP. Discontinuing G-CSF and using imaging are key for diagnosis and treatment.

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Area of Science:

  • Oncology
  • Vascular Medicine
  • Pharmacology

Background:

  • A sixty-year-old male diagnosed with diffuse large B-cell lymphoma.
  • Patient presented with fever, myalgia, and lethargy post-chemotherapy with G-CSF.

Purpose of the Study:

  • To report a rare case of G-CSF-induced aortitis.
  • To highlight diagnostic considerations for fever post-G-CSF therapy.

Main Methods:

  • Clinical case presentation.
  • Laboratory investigations including C-reactive protein (CRP) monitoring.
  • Computer tomography (CT) scan for imaging.

Main Results:

  • Patient developed fever and elevated CRP despite antibiotic treatment.
  • CT scan revealed aortitis, suspected to be G-CSF induced.
  • Discontinuation of G-CSF and initiation of prednisolone led to rapid improvement.

Conclusions:

  • G-CSF-induced aortitis is a potential diagnosis in patients with fever post-G-CSF treatment unresponsive to antibiotics.
  • Advanced imaging is crucial for diagnosis.
  • Prompt discontinuation of G-CSF is the primary management strategy.