Sustained coronavirus disease 2019-related organizing pneumonia successfully treated with corticosteroid
A 70-year-old Japanese man contracted severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and required oxygen to maintain oxygen saturation (>90%), 5 weeks after onset of coronavirus disease 2019 (COVID-19) symptoms. Transbronchial lung cryobiopsy revealed pathological features...
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Veröffentlicht in: | Respiratory investigation 2021-05, Vol.59 (3), p.377-381 |
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container_title | Respiratory investigation |
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creator | Takumida, Hiroshi Izumi, Shinyu Sakamoto, Keita Hashimoto, Masao Ishii, Satoru Suzuki, Manabu Takasaki, Jin Tanaka, Mariko Igari, Toru Hojo, Masayuki |
description | A 70-year-old Japanese man contracted severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and required oxygen to maintain oxygen saturation (>90%), 5 weeks after onset of coronavirus disease 2019 (COVID-19) symptoms. Transbronchial lung cryobiopsy revealed pathological features of organizing pneumonia with alveolar epithelial injury, and prednisolone administration led to alleviation of respiratory symptoms and recovery of respiratory function. This case report is the first to demonstrate the use of corticosteroids to successfully treat post-COVID-19 respiratory failure in a patient with biopsy-proven organizing pneumonia. We propose that steroid treatment be considered for patients with persistent respiratory dysfunction as COVID-19 pneumonia sequelae. |
doi_str_mv | 10.1016/j.resinv.2020.12.005 |
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Transbronchial lung cryobiopsy revealed pathological features of organizing pneumonia with alveolar epithelial injury, and prednisolone administration led to alleviation of respiratory symptoms and recovery of respiratory function. This case report is the first to demonstrate the use of corticosteroids to successfully treat post-COVID-19 respiratory failure in a patient with biopsy-proven organizing pneumonia. We propose that steroid treatment be considered for patients with persistent respiratory dysfunction as COVID-19 pneumonia sequelae.</description><identifier>ISSN: 2212-5345</identifier><identifier>EISSN: 2212-5353</identifier><identifier>DOI: 10.1016/j.resinv.2020.12.005</identifier><identifier>PMID: 33547007</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Administration, Oral ; Aged ; Biomarkers - blood ; Case Report ; COVID-19 ; COVID-19 - diagnosis ; COVID-19 - drug therapy ; COVID-19 - pathology ; Cryobiopsy ; Humans ; Lung - diagnostic imaging ; Lung - pathology ; Male ; Organizing pneumonia ; Oxygen Inhalation Therapy ; Prednisolone - administration & dosage ; Steroid ; Tomography, X-Ray Computed ; Treatment Outcome</subject><ispartof>Respiratory investigation, 2021-05, Vol.59 (3), p.377-381</ispartof><rights>2021 The Japanese Respiratory Society</rights><rights>Copyright © 2021 The Japanese Respiratory Society. 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We propose that steroid treatment be considered for patients with persistent respiratory dysfunction as COVID-19 pneumonia sequelae.</description><subject>Administration, Oral</subject><subject>Aged</subject><subject>Biomarkers - blood</subject><subject>Case Report</subject><subject>COVID-19</subject><subject>COVID-19 - diagnosis</subject><subject>COVID-19 - drug therapy</subject><subject>COVID-19 - pathology</subject><subject>Cryobiopsy</subject><subject>Humans</subject><subject>Lung - diagnostic imaging</subject><subject>Lung - pathology</subject><subject>Male</subject><subject>Organizing pneumonia</subject><subject>Oxygen Inhalation Therapy</subject><subject>Prednisolone - administration & dosage</subject><subject>Steroid</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><issn>2212-5345</issn><issn>2212-5353</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kN1KAzEQhYMoWqpvILIvsDU_m93ujSDiHxS8UK9DTGbbKdukJNlKfXq3rVa9cW4ynMw5k3yEnDM6YpSVl_NRgIhuNeKU9xIfUSoPyIBzxnMppDjc94U8IWcxzmlfpeQFK4_JiRCyqCitBmT23MWk0YHNjA_e6RWGLmYWI-gIGaeszgO0OvUDPky1ww9002zpoFt4hzqLnTEQY9O17TpLAbaT75hmm7yExscEwaM9JUeNbiOcfZ1D8np3-3LzkE-e7h9vrie5KWSR8rHW3BYl5aK2vCmplUaySlNR2sqIppF2K1dM1r02roUw9VtJTcFqMWaciyG52uUuu7cFWAMuBd2qZcCFDmvlNaq_Nw5naupXqhpzWVeiDyh2ASb4GAM0ey-jagNfzdUOvtrAV4yrHn5vu_i9d2_6Rv3zMOh_v0IIKhoEZ8BiAJOU9fj_hk_Fopp4</recordid><startdate>20210501</startdate><enddate>20210501</enddate><creator>Takumida, Hiroshi</creator><creator>Izumi, Shinyu</creator><creator>Sakamoto, Keita</creator><creator>Hashimoto, Masao</creator><creator>Ishii, Satoru</creator><creator>Suzuki, Manabu</creator><creator>Takasaki, Jin</creator><creator>Tanaka, Mariko</creator><creator>Igari, Toru</creator><creator>Hojo, Masayuki</creator><general>Elsevier B.V</general><general>The Japanese Respiratory Society. 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Transbronchial lung cryobiopsy revealed pathological features of organizing pneumonia with alveolar epithelial injury, and prednisolone administration led to alleviation of respiratory symptoms and recovery of respiratory function. This case report is the first to demonstrate the use of corticosteroids to successfully treat post-COVID-19 respiratory failure in a patient with biopsy-proven organizing pneumonia. We propose that steroid treatment be considered for patients with persistent respiratory dysfunction as COVID-19 pneumonia sequelae.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>33547007</pmid><doi>10.1016/j.resinv.2020.12.005</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0001-9903-1402</orcidid><orcidid>https://orcid.org/0000-0001-8515-6466</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Administration, Oral Aged Biomarkers - blood Case Report COVID-19 COVID-19 - diagnosis COVID-19 - drug therapy COVID-19 - pathology Cryobiopsy Humans Lung - diagnostic imaging Lung - pathology Male Organizing pneumonia Oxygen Inhalation Therapy Prednisolone - administration & dosage Steroid Tomography, X-Ray Computed Treatment Outcome |
title | Sustained coronavirus disease 2019-related organizing pneumonia successfully treated with corticosteroid |
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