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Delayed organising pneumonia in an immunocompromised host after a mild COVID-19 infection.
Tiew, Han Wei; Tan, Joanne Wei Ping; Teo, Clarence Hai Yi.
  • Tiew HW; General Medicine, Tan Tock Seng Hospital, Singapore, Singapore tiewhw@gmail.com.
  • Tan JWP; General Medicine, Tan Tock Seng Hospital, Singapore, Singapore.
  • Teo CHY; Pathology, Tan Tock Seng Hospital, Singapore, Singapore.
BMJ Case Rep ; 16(5)2023 May 16.
Article in English | MEDLINE | ID: covidwho-2315176
ABSTRACT
Organising pneumonia after a mild COVID-19 infection has been increasingly reported and poses a diagnostic challenge to physicians especially in immunocompromised patients. We report a patient with a background of lymphoma in remission on rituximab who presented with prolonged and persistent fever after recovering from a mild COVID-19 infection. The initial workup showed bilateral lower zone lung consolidation; however, the infective and autoimmune workup were unremarkable. Subsequently, a bronchoscopy with transbronchial lung biopsy confirmed the diagnosis of organising pneumonia. A tapering glucocorticoid regimen was commenced with prompt resolution of the patient's clinical symptoms, and subsequent resolution of biochemical markers and radiological lung changes 3 months later. This case highlights the importance of early recognition of the diagnosis of organising pneumonia in immunocompromised populations after a mild COVID-19 infection as it shows promising response to glucocorticoid therapy.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia / COVID-19 / Organizing Pneumonia Type of study: Case report / Prognostic study Topics: Long Covid Limits: Humans Language: English Year: 2023 Document Type: Article Affiliation country: Bcr-2023-254737

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia / COVID-19 / Organizing Pneumonia Type of study: Case report / Prognostic study Topics: Long Covid Limits: Humans Language: English Year: 2023 Document Type: Article Affiliation country: Bcr-2023-254737