Case Report
Copyright ©The Author(s) 2022.
World J Clin Cases. Feb 26, 2022; 10(6): 1981-1990
Published online Feb 26, 2022. doi: 10.12998/wjcc.v10.i6.1981
Table 2 History of treatment in the past year
Date
Treatment
Drug-specific
Treatment (April-December 2017)Phase 1Primary treatmentMethylprednisolone shock therapy (500 mg/d/3D)/hemodialysis 5 times, once every other day (due to progressive increase in serum creatinine to 455 μmol/L)/intravenous immunoglobulin
Adjuvant treatmentSymptomatic treatments to control infection/supplement albumin and supplement thyroxine
Phase 2Primary treatmentPrednisone 60 mg/d QD maintenance/cyclophosphamide shock therapy (European protocol)
Adjuvant treatmentInfection control/platelet infusion
After discharge (December 2017 – April 2018)Primary treatmentOral prednisone 40 mg/d, outpatient follow-up, monthly gradually reduced to 20 mg/d/oral MMF 1.5 g bid
Return for treatment due to lung infection (April 2018)Primary treatmentThe prednisone and MMF schemes remained unchanged /Immunomodulatory and anti-infective therapy for lung infection
After discharge(April-May 2018)Primary treatmentOral prednisone 20 mg/d/ oral MMF 1.0 g bid
June 2018Admitted to hospital due to multiple brain abscesses