open access
SARS-CoV-2 lung disease in a patient with pulmonary sarcoidosis — case report
Affiliations- Department of Radiology, National Tuberculosis and Lung Diseases Research Institute, Warsaw, Poland
- 1st Department of Lung Diseases, National Tuberculosis and Lung Diseases Research Institute, Warsaw, Poland
- Outpatients’ Clinic, National Tuberculosis and Lung Diseases Research Institute, Outpatients’ Clinic, National Tuberculosis and Lung Diseases Research Institute, Warsaw, Poland
- Department of Pneumonology and Allergology, Medical University, Lodz, Poland
open access
Abstract
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the recently identified cause of the current pandemic. In patients with chronic respiratory lung diseases, SARS-CoV-2 may result in significant morbidity and increased mortality. We present a case of a 69-year-old male with stage II pulmonary sarcoidosis who had been under observation for 30 months without immunosuppressive treatment. He then developed severe SARS-CoV-2 disease with typical radiological and laboratory findings. Therapy with oxygen, antibiotics, low-molecular-weight heparin in a prophylactic dose, and dexamethasone resulted in marked clinical improvement. We will discuss the rationale for corticosteroid use in both SARS-CoV-2 disease and in SARS-CoV-2 disease that is complicating comorbid sarcoidosis.
Abstract
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the recently identified cause of the current pandemic. In patients with chronic respiratory lung diseases, SARS-CoV-2 may result in significant morbidity and increased mortality. We present a case of a 69-year-old male with stage II pulmonary sarcoidosis who had been under observation for 30 months without immunosuppressive treatment. He then developed severe SARS-CoV-2 disease with typical radiological and laboratory findings. Therapy with oxygen, antibiotics, low-molecular-weight heparin in a prophylactic dose, and dexamethasone resulted in marked clinical improvement. We will discuss the rationale for corticosteroid use in both SARS-CoV-2 disease and in SARS-CoV-2 disease that is complicating comorbid sarcoidosis.
Keywords
SARS-CoV-2; sarcoidosis; corticosteroids; anticoagulation; computed tomography
About this articleTitle
SARS-CoV-2 lung disease in a patient with pulmonary sarcoidosis — case report
Journal
Advances in Respiratory Medicine
Issue
Article type
Case report
Pages
620-625
Published online
2020-12-22
DOI
10.5603/ARM.a2020.0199
Pubmed
Bibliographic record
Adv Respir Med 2020;88(6):620-625.
Keywords
SARS-CoV-2
sarcoidosis
corticosteroids
anticoagulation
computed tomography
Authors
Lucyna Magdalena Opoka
Dorota Wyrostkiewicz
Jolanta Winek
Katarzyna Błasińska
Joanna Miłkowska-Dymanowska
Monika Szturmowicz
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