COVID-19 and Acute Lupus Pneumonitis: Diagnostic and Treatment Dilemma
Asim Kichloo, Michael Aljadah, Michael Albosta, Farah Wani, Jagmeet Singh, Shantanu Solanki
Abstract
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.
Topics & Concepts
MedicineCoronavirus disease 2019 (COVID-19)MethylprednisoloneNasal cannulaSystemic lupus erythematosusPneumonitisPulmonary fibrosisInterstitial lung diseaseSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)Acute respiratory failureLungInternal medicineSurgeryDiseaseCannulaMechanical ventilationInfectious disease (medical specialty)COVID-19 Clinical Research StudiesSARS-CoV-2 and COVID-19 ResearchLong-Term Effects of COVID-19