Fluoxetin-induced pulmonary granulomatosis

Eur Respir J. 1996 Mar;9(3):615-7. doi: 10.1183/09031936.96.09030615.

Abstract

A patient treated with fluoxetin for a manic depressive disorder developed pulmonary inflammatory nodules with noncaseating giant cell granulomas, interstitial pneumonia and non-necrotizing vasculitis, whilst remaining asymptomatic. A progressive resolution of pulmonary nodules occurred after withdrawal of the offending agent, and the chest radiograph returned to normal in 9 months. The diagnosis was assessed by an open lung biopsy.

Publication types

  • Case Reports

MeSH terms

  • Antidepressive Agents, Second-Generation / adverse effects*
  • Antidepressive Agents, Second-Generation / therapeutic use
  • Depressive Disorder / drug therapy
  • Diagnosis, Differential
  • Female
  • Fluoxetine / adverse effects*
  • Fluoxetine / therapeutic use
  • Granuloma, Giant Cell / chemically induced*
  • Granuloma, Giant Cell / diagnosis
  • Granuloma, Giant Cell / physiopathology
  • Humans
  • Lung Diseases / chemically induced*
  • Lung Diseases / diagnosis
  • Lung Diseases / physiopathology
  • Middle Aged

Substances

  • Antidepressive Agents, Second-Generation
  • Fluoxetine