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Rapid Radiological Worsening and Cytokine Storm Syndrome in COVID-19 Pneumonia.
Ruch, Yvon; Kaeuffer, Charlotte; Guffroy, Aurélien; Lefebvre, Nicolas; Hansmann, Yves; Danion, François.
  • Ruch Y; Department of Infectious Diseases, Strasbourg University Hospital, Strasbourg, France.
  • Kaeuffer C; Department of Infectious Diseases, Strasbourg University Hospital, Strasbourg, France.
  • Guffroy A; Department of Clinical Immunology and Internal Medicine, Strasbourg University Hospital, Strasbourg, France.
  • Lefebvre N; Department of Infectious Diseases, Strasbourg University Hospital, Strasbourg, France.
  • Hansmann Y; Department of Infectious Diseases, Strasbourg University Hospital, Strasbourg, France.
  • Danion F; Department of Infectious Diseases, Strasbourg University Hospital, Strasbourg, France.
Eur J Case Rep Intern Med ; 7(7): 001822, 2020.
Article in English | MEDLINE | ID: covidwho-2278965
ABSTRACT

BACKGROUND:

In June 2020, a large randomised controlled clinical trial in the UK found that dexamethasone was effective in reducing the number of deaths in patients with severe coronavirus disease 2019 (COVID-19). CASE DESCRIPTION We describe a patient with rapid worsening of COVID-19 pneumonia and its dramatic improvement under corticosteroids.

DISCUSSION:

Corticosteroids could be useful in patients with an inflammatory profile, considering that acute respiratory distress syndrome may be the consequence of cytokine storm syndrome. LEARNING POINTS One of the main pathophysiological hypotheses for severe COVID-19 pneumonia is inappropriate immunological hyperactivation.Corticosteroid therapy may be useful in these patients.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Prognostic study / Randomized controlled trials Language: English Journal: Eur J Case Rep Intern Med Year: 2020 Document Type: Article Affiliation country: 2020_001822

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Prognostic study / Randomized controlled trials Language: English Journal: Eur J Case Rep Intern Med Year: 2020 Document Type: Article Affiliation country: 2020_001822