Respiratory Medicine CME
Volume 2, Issue 4 , Pages 181-184, 2009

Everolimus associated interstitial pneumonitis: 3 Case reports

  • G. Bouvier

      Affiliations

    • INSERM, U915, Nantes F-44000, France
    • Université de Nantes, Faculté de Médecine, l'institut du thorax, Nantes F-44000, France
    • CHU Nantes, l'institut du thorax, Service de pneumologie, Nantes F-44000, France
    • Corresponding Author InformationCorresponding author. CHU Nantes, Institut du thorax, Service de pneumologie, Nantes F 44000, France. Tel.: + 33 240165235.
  • ,
  • L. Cellerin

      Affiliations

    • INSERM, U915, Nantes F-44000, France
    • Université de Nantes, Faculté de Médecine, l'institut du thorax, Nantes F-44000, France
    • CHU Nantes, l'institut du thorax, Service de pneumologie, Nantes F-44000, France
  • ,
  • B. Henry

      Affiliations

    • INSERM, U915, Nantes F-44000, France
    • Université de Nantes, Faculté de Médecine, l'institut du thorax, Nantes F-44000, France
    • CHU Nantes, l'institut du thorax, Service de pneumologie, Nantes F-44000, France
  • ,
  • P. Germaud

      Affiliations

    • INSERM, U915, Nantes F-44000, France
    • Université de Nantes, Faculté de Médecine, l'institut du thorax, Nantes F-44000, France
    • CHU Nantes, l'institut du thorax, Service de pneumologie, Nantes F-44000, France
  • ,
  • M. Hourmant

      Affiliations

    • Service de néphrologie, Nantes F-44000, France
  • ,
  • C. Sagan

      Affiliations

    • Service d'anatomopathologie, Nantes F-44000, France
  • ,
  • A. Magnan

      Affiliations

    • INSERM, U915, Nantes F-44000, France
    • Université de Nantes, Faculté de Médecine, l'institut du thorax, Nantes F-44000, France
    • CHU Nantes, l'institut du thorax, Service de pneumologie, Nantes F-44000, France

Received 9 December 2008; accepted 12 January 2009.

Abstract 

Like sirolimus, everolimus is an inhibitor of mTOR (mammalian target of rapamycin), used as an immunosuppressant in solid organ transplantation and as an antineoplastic agent. Its usage increases. Many cases of sirolimus-induced hypersensitivity pneumonitis were reported. To our knowledge only four cases of everolimus-associated interstitial pneumonitis have been reported in transplant recipients, three in heart and the other in kidney transplantation, with a favourable outcome after discontinuation. We report herein three cases of hypersensitivity pneumonitis due to everolimus.

Keywords: Everolimus, mTOR inhibitor, Hypersensitivity pneumonitis, Sirolimus, Transplantation

 

PII: S1755-0017(09)00007-4

doi:10.1016/j.rmedc.2009.01.008

Respiratory Medicine CME
Volume 2, Issue 4 , Pages 181-184, 2009