Perpetually Positive: Post-COVID Interstitial Lung Disease in an Immunocompromised Patient With Diffuse Large B-cell Lymphoma.
John S DaycoZeinab El-RedaNabeel SumbalRashid AlhusainShaheena RaheemPublished in: Journal of investigative medicine high impact case reports (2021)
As more patients recover from COVID-19 infection, long-term complications are beginning to arise. Our case report will explore a debilitating long-term complication, Post-COVID Interstitial Lung Disease (PC-ILD). We will introduce a patient who developed PC-ILD in the setting of diffuse large B-cell lymphoma, outlining a difficult hospital course, including a positive COVID-19 polymerase chain reaction (PCR) for more than 3 months. We will then discuss the human body's physiological response to the virus and how our patient was not able to adequately mount an immune response. Finally, the pathophysiology of PC-ILD will be explored and correlated with the patient's subsequent computed tomographic images obtained over a 3-month period. The difficult hospital course and complex medical decision-making outlined in this case report serve as a reminder for health care providers to maintain vigilance in protecting our most vulnerable patient population from such a devastating disease process.
Keyphrases
- interstitial lung disease
- case report
- diffuse large b cell lymphoma
- systemic sclerosis
- healthcare
- coronavirus disease
- rheumatoid arthritis
- sars cov
- idiopathic pulmonary fibrosis
- immune response
- epstein barr virus
- decision making
- risk factors
- ejection fraction
- intensive care unit
- newly diagnosed
- dendritic cells
- toll like receptor
- machine learning
- peritoneal dialysis
- optical coherence tomography