Late Onset of Organizing Pneumonia Following SARS-CoV-2 Infection: A Case Report of Successful Management and Review Literature

Author:

Le Dung Tien1,Vu Vu Hoang23,Nguyen Dinh Hoang23,Vo Duc Tan4,Pham Quang Dang Duy2,Nguyen Khang Duong2,Truong Binh Quang23

Affiliation:

1. Respiratory Department, University Medical Center Ho Chi Minh City, Ho Chi Minh City, Viet Nam

2. Cardiovascular Center, University Medical Center Ho Chi Minh City, Ho Chi Minh City, Viet Nam

3. University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Viet Nam

4. Imaging Diagnostics Department, University Medical Center Ho Chi Minh City, Ho Chi Minh City, Viet Nam

Abstract

A late consequence of COVID-19, organizing pneumonia is characterized by significant imaging and pathological abnormalities. The goals of this study are to better understand these abnormalities. The use of corticoid continues to be the recommended course of treatment for COVID-19. On the other hand, it is not clear whether or not corticoid has the same impact on organizing pneumonia after COVID-19. A 53-year-old male patient was identified with organized pneumonia following COVID-19 infection. He was diagnosed after experiencing severe respiratory symptoms several days with no improvement. We initiated a high dose of corticoid based on imaging and pathological findings and observed a significant response. In addition, we looked into the research that has been done concerning the diagnosis and treatment of this peculiar ailment. Patients who have been diagnosed with pneumonia after COVID 19 are required to undergo a reevaluation that includes a chest CT scan, and some of these patients may be candidates for an early lung biopsy. The most effective and convincing therapy for COVID-19-induced organizing pneumonia is corticoid treatment at a dose equivalent to 0.5 mg/kg/day of prednisone.

Publisher

SAGE Publications

Subject

General Medicine

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