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Article ; Online: Organizing pneumonia: A late phase complication of COVID-19 responding dramatically to corticosteroids.

de Oliveira Filho, Cilomar Martins / Vieceli, Tarsila / de Fraga Bassotto, Caroline / da Rosa Barbato, João Pedro / Garcia, Tiago Severo / Scheffel, Rafael Selbach

The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases

2021  Volume 25, Issue 1, Page(s) 101541

Abstract: Organizing pneumonia emerges as a late phase complication of COVID-19. Corticosteroids are standard ... would be beneficial for patients with organizing pneumonia secondary to COVID-19 remains to be answered ... therapy for organizing pneumonia, but the question of whether an approach with high dose corticosteroids ...

Abstract Organizing pneumonia emerges as a late phase complication of COVID-19. Corticosteroids are standard therapy for organizing pneumonia, but the question of whether an approach with high dose corticosteroids would be beneficial for patients with organizing pneumonia secondary to COVID-19 remains to be answered. Herein we report a series of three patients, one male and two females, mean age 58.3 years old, admitted for COVID-19 with severe pulmonary disease requiring ventilatory support. The patients underwent chest computed tomography scans due to maintained hypoxemia, which showed a pattern compatible with organizing pneumonia. The patients were treated with a high dose of corticosteroids (prednisone 1 mg/kg PO), showing marked clinical improvement, and decreasing oxygen flow ratio demand. They were discharged after a mean period of 6.3 days of hospitalization. Our report suggests that patients with COVID-19 with organizing pneumonia might benefit from high dose corticosteroids as an adjuvant therapy.
MeSH term(s) Adrenal Cortex Hormones/adverse effects ; COVID-19 ; Female ; Humans ; Lung ; Male ; Middle Aged ; Pneumonia/drug therapy ; SARS-CoV-2
Chemical Substances Adrenal Cortex Hormones
Language English
Publishing date 2021-02-06
Publishing country Brazil
Document type Case Reports
ZDB-ID 2041400-6
ISSN 1678-4391 ; 1413-8670
ISSN (online) 1678-4391
ISSN 1413-8670
DOI 10.1016/j.bjid.2021.101541
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