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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Main Authors: Christian Akem Dimala, Urvi Patel, Benjamin Lloyd, Anthony Donato, William B. Kimmel, Robert Hallowell, Caitlyn Moss
Format: Article
Language:English
Published: Wiley 2021-01-01
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.
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language English
publishDate 2021-01-01
publisher Wiley
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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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