Summary A 66-year-old
male patient was referred to our clinic with severe
pneumonia.
Bronchoscopy was performed due to clinical worsening despite
antibiotics and
diuretic therapy, respiratory failure and radiographic progression. Because bacterial
cultures of the
bronchoalveolar lavage fluid were negative and after using
amiodarone for almost one month, we eliminated
amiodarone from his medication regimen due to suspicion of
amiodarone toxicity. Accordingly, we also initiated systemic
steroid therapy.
Chest X-ray done after 72 hours showed a significant resolution of
lung consolidations and the
patient exhibited significant clinical improvement, with decline of his
oxygen requirements.