A Case Report of Steroid-Resistant Cryptogenic Organizing Pneumonia Managed with Intravenous Immunoglobulins
Fewer than ten reported cases of cryptogenic organizing pneumonia (COP) have been managed with intravenous immunoglobulins (IVIg). We report a case of a 72-year-old man who presented with a worsening cough and diffuse opacities on chest radiograph. Following no improvement with antibiotics and negat...
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Wiley
2021-01-01
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Series: | Case Reports in Pulmonology |
Online Access: | http://dx.doi.org/10.1155/2021/9343491 |
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author | Christian Akem Dimala Urvi Patel Benjamin Lloyd Anthony Donato William B. Kimmel Robert Hallowell Caitlyn Moss |
author_facet | Christian Akem Dimala Urvi Patel Benjamin Lloyd Anthony Donato William B. Kimmel Robert Hallowell Caitlyn Moss |
author_sort | Christian Akem Dimala |
collection | DOAJ |
description | Fewer than ten reported cases of cryptogenic organizing pneumonia (COP) have been managed with intravenous immunoglobulins (IVIg). We report a case of a 72-year-old man who presented with a worsening cough and diffuse opacities on chest radiograph. Following no improvement with antibiotics and negative complementary investigations for infectious, malignant, and autoimmune etiologies, COP was confirmed on lung biopsy. Due to continued clinical deterioration despite high-dose steroids and new severe steroid-induced hallucinations, the patient was placed on intravenous immunoglobulins (IVIg) and mycophenolate mofetil and made a satisfactory recovery. IVIg should be considered as an important steroid-sparing alternative in patients with COP. |
format | Article |
id | doaj-art-ee860cf8282441e0b9a4f5f12d840047 |
institution | Kabale University |
issn | 2090-6854 |
language | English |
publishDate | 2021-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Pulmonology |
spelling | doaj-art-ee860cf8282441e0b9a4f5f12d8400472025-02-03T06:43:23ZengWileyCase Reports in Pulmonology2090-68542021-01-01202110.1155/2021/9343491A Case Report of Steroid-Resistant Cryptogenic Organizing Pneumonia Managed with Intravenous ImmunoglobulinsChristian Akem Dimala0Urvi Patel1Benjamin Lloyd2Anthony Donato3William B. Kimmel4Robert Hallowell5Caitlyn Moss6Department of MedicineDepartment of MedicineDepartment of MedicineDepartment of MedicineDepartment of PathologyDepartment of Pulmonary & Critical Care MedicineDepartment of MedicineFewer than ten reported cases of cryptogenic organizing pneumonia (COP) have been managed with intravenous immunoglobulins (IVIg). We report a case of a 72-year-old man who presented with a worsening cough and diffuse opacities on chest radiograph. Following no improvement with antibiotics and negative complementary investigations for infectious, malignant, and autoimmune etiologies, COP was confirmed on lung biopsy. Due to continued clinical deterioration despite high-dose steroids and new severe steroid-induced hallucinations, the patient was placed on intravenous immunoglobulins (IVIg) and mycophenolate mofetil and made a satisfactory recovery. IVIg should be considered as an important steroid-sparing alternative in patients with COP.http://dx.doi.org/10.1155/2021/9343491 |
spellingShingle | Christian Akem Dimala Urvi Patel Benjamin Lloyd Anthony Donato William B. Kimmel Robert Hallowell Caitlyn Moss A Case Report of Steroid-Resistant Cryptogenic Organizing Pneumonia Managed with Intravenous Immunoglobulins Case Reports in Pulmonology |
title | A Case Report of Steroid-Resistant Cryptogenic Organizing Pneumonia Managed with Intravenous Immunoglobulins |
title_full | A Case Report of Steroid-Resistant Cryptogenic Organizing Pneumonia Managed with Intravenous Immunoglobulins |
title_fullStr | A Case Report of Steroid-Resistant Cryptogenic Organizing Pneumonia Managed with Intravenous Immunoglobulins |
title_full_unstemmed | A Case Report of Steroid-Resistant Cryptogenic Organizing Pneumonia Managed with Intravenous Immunoglobulins |
title_short | A Case Report of Steroid-Resistant Cryptogenic Organizing Pneumonia Managed with Intravenous Immunoglobulins |
title_sort | case report of steroid resistant cryptogenic organizing pneumonia managed with intravenous immunoglobulins |
url | http://dx.doi.org/10.1155/2021/9343491 |
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