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A COPD Patient Who Developed Pulmonary Fibrosis Following COVID-19: A Case Study
- Source :
- Global Journal of Respiratory Care. 7:35-40
- Publication Year :
- 2021
- Publisher :
- Savvy Science Publisher, 2021.
-
Abstract
- The new virus called severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2) causing Coronavirus disease 2019 (COVID-19) has spread to several countries and caused the current pandemic. Different types of clinical manifestations are associated with that infection. Some drugs have been approved such as anti-viral agents but the use of corticosteroids is controversial. Pulmonary fibrosis is a frequent consequence of Covid-19 that may requires a special attention and a specific follow up. Herein we report a case of a 68-years-old patient affected by SARS-Cov-2 infection complicated by pulmonary fibrosis who healed from Covid-19 infection after a total inpatient stay of 12 days by with remdesivir treatment. The patient presented a chest fibrosis picture at the discharge that went on at 10 days check with a decline of respiratory functional parameters. For this reason a combined treatment with high dose prednisone and N-acetyl-cysteine was started. The patients benefited from high dose corticosteroids plus N-acetyl-cysteine leading to a clinical and functional improvement. Indeed, the patient underwent a chest CT-scan and spirometry at one month check after the beginning of the treatment. Notably both the radiological pattern of fibrosis and respiratory function improved after treatment with prednisone 50 mg a day for 15 days followed by 25 mg for additional 15 days and N-acetylcisteine 600 mg twice a day.
- Subjects :
- General Medicine
Subjects
Details
- ISSN :
- 23125470
- Volume :
- 7
- Database :
- OpenAIRE
- Journal :
- Global Journal of Respiratory Care
- Accession number :
- edsair.doi...........707cc0312862c966cc6cbad6484f5894