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Article in Japanese
Abstract
Case Report
A case of suspected interstitial lung disease following severe COVID-19, successfully treated with steroid pulse therapy
Chie Yamamotoa Yoshiki Okumurab,c Hiroki Yasuharad Shun Futamuraa Tasuku Harae
aDepartment of Respiratory Medicine, Fukuchiyama City Hospital
bEmergency Medicine, Fukuchiyama City Hospital
cPediatrics, Fukuchiyama City Hospital
dGeneral Internal Medicine, Fukuchiyama City Hospital
eGastroenterology, Fukuchiyama City Hospital
ABSTRACT
A 76-year-old man who had been diagnosed with COVID-19 based on his fever became severely ill and required mechanical ventilation management. After various treatments, the patient was extubated and the ventilator withdrawn, but his respiratory condition deteriorated again. His images showed organizing pneumonia and nonspecific interstitial pneumonia-like findings, and when steroid pulse therapy was performed, both respiratory status and imaging findings showed marked improvement. We herein suggest that corticosteroid administration may be effective when respiratory failure persists after COVID-19 and organizing pneumonia-like findings are observed, even with nonspecific interstitial pneumonia-like findings. In that case, it is important to distinguish it from other diseases including secondary infections.
KEYWORDS
Coronavirus disease 2019 (COVID-19) Interstitial lung disease (ILD) Steroid pulse therapy
Received 1 Mar 2021 ／ Accepted 16 Jul 2021
AJRS, 10(5): 432-436, 2021
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