Late presentation of organising pneumonia in COVID-19

摘要

A 58-year-old man developed coryzal symptoms, temperature and systemic malaise and had a positive swab for COVID-19. He presented to the hospital and was hypoxic; a chest X-ray demonstrated a widespread infiltrate. He was admitted to the intensive care unit (ICU) and was commenced on dexamethasone at 6 mg daily and remdesivir with high-flow oxygen. He was initially markedly hypoxic with a nadir saturation of 81% recorded, while on 50% oxygen. His hypoxia improved in the ICU and after 4 days he was transferred to the standard ward with supplemental oxygen. After 8 days, his dexamethasone was ceased and he was discharged home.