Severe everolimus-associated pneumonitis in a renal transplant recipient

Nephrol Dial Transplant. 2008 Oct;23(10):3353-5. doi: 10.1093/ndt/gfn401. Epub 2008 Jul 25.

Abstract

Inhibitors of mTOR (mammalian target of rapamycin) are immunosuppressants with less nephrotoxic potential than calcineurin inhibitors and antiproliferative effects, which are advantageous in the case of malignancy. However, a series of adverse events has been reported with the first-generation mTOR inhibitor sirolimus that includes hypersensitivity-like interstitial pneumonitis. To our knowledge, only one case of a pneumonitis associated with everolimus in a heart transplant patient has been reported, and it was related to elevated trough blood levels. We report herein the first case of a kidney graft recipient who developed everolimus-associated pneumonitis with normal trough blood levels that was completely reversed after drug withdrawal.

Publication types

  • Case Reports

MeSH terms

  • Everolimus
  • Humans
  • Immunosuppressive Agents / adverse effects*
  • Immunosuppressive Agents / blood
  • Kidney Failure, Chronic / blood
  • Kidney Failure, Chronic / drug therapy
  • Kidney Failure, Chronic / surgery
  • Kidney Transplantation* / adverse effects
  • Lung Diseases, Interstitial / chemically induced*
  • Lung Diseases, Interstitial / diagnosis
  • Lung Diseases, Interstitial / diagnostic imaging
  • Male
  • Middle Aged
  • Protein Kinases / drug effects
  • Radiography
  • Sirolimus / adverse effects
  • Sirolimus / analogs & derivatives*
  • Sirolimus / blood
  • TOR Serine-Threonine Kinases

Substances

  • Immunosuppressive Agents
  • Everolimus
  • Protein Kinases
  • MTOR protein, human
  • TOR Serine-Threonine Kinases
  • Sirolimus