Case Report
Copyright ©The Author(s) 2022.
World J Clin Cases. Feb 26, 2022; 10(6): 1946-1951
Published online Feb 26, 2022. doi: 10.12998/wjcc.v10.i6.1946
Table 1 Characteristics of cryptogenic organizing pneumonia with pregnancy: Previous published case report
Case No.1234
Ref.Ghidini et al[1], 1999Futagami et al[10], 2003Holder et al[5], 2011Present
Age (yr)27331635
Underlying diseaseHIVITP, asthmaCOP, pulmonary hypertension, asthma, partial right lower-lobe resectionNone
Gestational age (wk) at diagnosis26 + 5382016 + 1
Gestational age (wk) at delivery34382839+4
SymptomsCough, dyspnea, chest painCough, feverDyspnea, chest pain, fatigueChest pain, cough, dyspnea, sputum
Radiologic FindingsDiffuse bilateral parenchymal infiltrates (left lower lobe) in chest X-rayDiffuse bilateral parenchymal infiltrates in chest X-rayPatchy ground glass infiltrates in chest CTMultifocal patchy airspace consolidation and GGO
Initial diagnosisAsthmatic bronchitis or interstitial; PneumoniaAsthmatic bronchitis or mycoplasmic pneumoniaPre-existing COPCAP
Definite diagnosis methodOpen lung biopsyBAL, TBLBNABAL, TBLB
Initial treatmentTrimethoprim (300 mg) + sulfamethoxazole (1500 mg) IV every 6 h + ceftriaxone (2 g) IV daily, methylprednisolone, 60 mg IV every 8 hCefmetazole 1 g every 12 h + gabexatemesilate 2 g IV continuouslyNACeftriaxone (2 g daily) IV + amoxicillin (250 mg every 8 h), cefpodoxime (100 mg every 12 h) orally
Final treatmentDexamethasone, 5 mg IV every 12 h for 72 h, folowed by methylprednisolone, 60 mg IV daily for 48 h, then 30 mg IV every 8 h for 4 d; and prednisone 40 mg/d orallyMinocycline 100 mg + methylprednisolone 125 mg every 12 h and every 8 h, for 5 d, followed 40 mg per day orally for 11 dNebulizer of a beta-2 agonist and corticosteroidsPrednisolone (0.5 mg/kg/d) for 10 d