COVID-19 Pneumonia and Idiopathic Pulmonary Fibrosis: A Novel Combination.
Fatma Işıl UzelSinem IliazFerhan KarataşBenan ÇağlayanPublished in: Turkish thoracic journal (2020)
Coronavirus disease 2019 (COVID-19) has become a game changer in many aspects of clinical practice. Acute exacerbations of idiopathic pulmonary fibrosis (IPF) are known as serious events, which can reach a mortality rate of 50%, where viral infections may play a role. We describe the case of a 64-year-old male patient with a diagnosis of IPF under antifibrotic treatment for 1 year; the patient tested positive for COVID-19 with polymerase chain reaction test of the nasopharyngeal swab, and his chest computed tomography results were compatible with COVID-19 pneumonia described in the literature as well as the findings compatible with interstitial lung disease. The patient was successfully treated in the pulmonology ward according to official guidelines about COVID-19 along with antifibrotic treatment and required only a short course of oxygen therapy. We experienced no drug interactions, serious side effects, or complications during treatment. The patient was discharged after 1 week, and he is still in a good condition after 3 weeks. COVID-19 pneumonia in a patient with IPF who survived under antifibrotic treatment without serious deterioration is a new experience. Such cases will probably change our perspective in treating patients with IPF.
Keyphrases
- idiopathic pulmonary fibrosis
- coronavirus disease
- interstitial lung disease
- sars cov
- case report
- respiratory syndrome coronavirus
- clinical practice
- computed tomography
- systemic sclerosis
- systematic review
- chronic obstructive pulmonary disease
- respiratory failure
- cardiovascular disease
- magnetic resonance imaging
- rheumatoid arthritis
- intensive care unit
- cystic fibrosis
- positron emission tomography
- pulmonary fibrosis
- hepatitis b virus
- magnetic resonance
- bone marrow
- smoking cessation
- cardiovascular events
- community acquired pneumonia