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Daptomycin-Induced Lung Toxicity

Imaging findings

Patient treated with daptomycin for a cutaneous infection developed shortness of breath. Radiograph and CT showed peripheral consolidation, reticulation with lower lobe predominance, air bronchograms, and some dilated airways, consistent with a mixed organizing pneumonia and NSIP pattern.

Key takeaways

Daptomycin is a known cause of pulmonary toxicity, which may manifest as a mixed organizing pneumonia and NSIP pattern on imaging. The condition can be reversible with drug cessation and corticosteroids.

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