Acute interstitial pneumonia: 75-year-old male with unresolved pneumonia with fatal outcome
DOI:
https://doi.org/10.32818/reccmi.a3n1a2Keywords:
pneumonia, non-resolving pneumonia, antibiotics, severity score.Abstract
We report a case of a 75-year-old man who came to the emergency room complaining of fever, cough and dyspnea of ten days duration. Patient developed severe respiratory failure and diffuse pulmonary infiltrates in chest film. Evolution of symptoms was poor and the diagnosis of non-resolving pneumonia was made. Micro- biological test and a bronchoscopy were negative. Steroid therapy was initiated promptly. He finally died of respiratory failure 15 days after the hospitalization. After exclusion of secondary etiologies including collagen diseases, we concluded this case as a probable acute (idiopathic) interstitial pneumonia, or Hamman-Rich syndrome. The poor prognosis associated with this entity has been confirmed.
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Copyright (c) 2018 Javier Castilla-Yélamo, Sofía Vidal-Serrano, Manuel Poyato-Borrego, Sofía Delgado-Romero, Ignacio Vallejo-Maroto
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