Journal of Investigative Medicine High Impact Case Reports (Jun 2020)

COVID-19 and Acute Lupus Pneumonitis: Diagnostic and Treatment Dilemma

  • Asim Kichloo MD,
  • Michael Aljadah MD,
  • Michael Albosta MD,
  • Farah Wani MD,
  • Jagmeet Singh MD,
  • Shantanu Solanki MD, MPH

DOI
https://doi.org/10.1177/2324709620933438
Journal volume & issue
Vol. 8

Abstract

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In this article, we present a case of a young female patient with previously diagnosed lupus pneumonitis, now with a flare and new superimposed COVID-19 infection that was treated with intravenous steroids. On computed tomography scans, she had extensive interstitial lung fibrosis in addition to a positive COVID-19 polymerase chain reaction test requiring 6 L of oxygen via nasal cannula on admission. After administration of methylprednisolone, the patient improved and was weaned off her oxygen requirements and was discharged home.