COVID-19 and Acute Lupus Pneumonitis: Diagnostic and Treatment Dilemma.
Asim KichlooMichael AljadahMichael AlbostaFarah WaniJagmeet SinghShantanu SolankiPublished in: Journal of investigative medicine high impact case reports (2020)
In this article, we present a case of a young female patient with previously diagnosed lupus pneumonitis, now with a flare and new superimposed COVID-19 infection that was treated with intravenous steroids. On computed tomography scans, she had extensive interstitial lung fibrosis in addition to a positive COVID-19 polymerase chain reaction test requiring 6 L of oxygen via nasal cannula on admission. After administration of methylprednisolone, the patient improved and was weaned off her oxygen requirements and was discharged home.
Keyphrases
- computed tomography
- coronavirus disease
- sars cov
- systemic lupus erythematosus
- case report
- respiratory failure
- high dose
- disease activity
- emergency department
- liver failure
- magnetic resonance imaging
- positron emission tomography
- interstitial lung disease
- contrast enhanced
- extracorporeal membrane oxygenation
- rheumatoid arthritis
- respiratory syndrome coronavirus
- magnetic resonance
- low dose
- systemic sclerosis
- middle aged
- image quality
- chronic rhinosinusitis
- smoking cessation
- idiopathic pulmonary fibrosis