Post‐coronavirus disease 2019 organizing pneumonia confirmed pathologically by video‐assisted thoracoscopic surgery

Abstract Coronavirus disease 2019 (COVID‐19), caused by severe acute respiratory syndrome coronavirus 2, has become a global pandemic. Many survivors of serious COVID‐19 pneumonia have long‐term residual pulmonary disease. However, there is little documentation of the histopathological characteristi...

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Main Authors: Keishi Sugino, Hirotaka Ono, Shuji Haraguchi, Seiji Igarashi, Akira Hebisawa, Eiyasu Tsuboi
Format: Article
Language:English
Published: Wiley 2021-12-01
Series:Respirology Case Reports
Subjects:
Online Access:https://doi.org/10.1002/rcr2.871
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author Keishi Sugino
Hirotaka Ono
Shuji Haraguchi
Seiji Igarashi
Akira Hebisawa
Eiyasu Tsuboi
author_facet Keishi Sugino
Hirotaka Ono
Shuji Haraguchi
Seiji Igarashi
Akira Hebisawa
Eiyasu Tsuboi
author_sort Keishi Sugino
collection DOAJ
description Abstract Coronavirus disease 2019 (COVID‐19), caused by severe acute respiratory syndrome coronavirus 2, has become a global pandemic. Many survivors of serious COVID‐19 pneumonia have long‐term residual pulmonary disease. However, there is little documentation of the histopathological characteristics of lung sequelae post‐COVID‐19 and effective treatments. We present two Japanese cases of lung sequelae post‐COVID‐19. The patients were histopathologically diagnosed with organizing pneumonia (OP) or OP with fibrosis and no diffuse alveolar damage on video‐assisted thoracoscopic surgery. Case 1, who had been diagnosed with OP, was successfully treated with corticosteroid and other immunosuppressive agents over a 6‐month period. Although case 2, who had been diagnosed with OP with fibrosis, had a partial and unsatisfactory response to immunosuppressive agents, the patient responded to antifibrotic treatment including nintedanib.
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spelling doaj.art-a82cc103c61a407fab5ad860ae1f39d72022-12-21T21:33:23ZengWileyRespirology Case Reports2051-33802021-12-01912n/an/a10.1002/rcr2.871Post‐coronavirus disease 2019 organizing pneumonia confirmed pathologically by video‐assisted thoracoscopic surgeryKeishi Sugino0Hirotaka Ono1Shuji Haraguchi2Seiji Igarashi3Akira Hebisawa4Eiyasu Tsuboi5Department of Respiratory Medicine Tsuboi Hospital Koriyama City JapanDepartment of Respiratory Medicine Tsuboi Hospital Koriyama City JapanDepartment of Chest Surgery Tsuboi Hospital Koriyama City JapanDepartment of Diagnostic Pathology Tsuboi Hospital Koriyama City JapanDepartment of Clinical Pathology Asahi Central Hospital Asahi JapanDepartment of Respiratory Medicine Tsuboi Hospital Koriyama City JapanAbstract Coronavirus disease 2019 (COVID‐19), caused by severe acute respiratory syndrome coronavirus 2, has become a global pandemic. Many survivors of serious COVID‐19 pneumonia have long‐term residual pulmonary disease. However, there is little documentation of the histopathological characteristics of lung sequelae post‐COVID‐19 and effective treatments. We present two Japanese cases of lung sequelae post‐COVID‐19. The patients were histopathologically diagnosed with organizing pneumonia (OP) or OP with fibrosis and no diffuse alveolar damage on video‐assisted thoracoscopic surgery. Case 1, who had been diagnosed with OP, was successfully treated with corticosteroid and other immunosuppressive agents over a 6‐month period. Although case 2, who had been diagnosed with OP with fibrosis, had a partial and unsatisfactory response to immunosuppressive agents, the patient responded to antifibrotic treatment including nintedanib.https://doi.org/10.1002/rcr2.871coronavirus disease 2019corticosteroidorganizing pneumoniasevere acute respiratory syndrome coronavirus 2video‐assisted thoracoscopic surgery
spellingShingle Keishi Sugino
Hirotaka Ono
Shuji Haraguchi
Seiji Igarashi
Akira Hebisawa
Eiyasu Tsuboi
Post‐coronavirus disease 2019 organizing pneumonia confirmed pathologically by video‐assisted thoracoscopic surgery
Respirology Case Reports
coronavirus disease 2019
corticosteroid
organizing pneumonia
severe acute respiratory syndrome coronavirus 2
video‐assisted thoracoscopic surgery
title Post‐coronavirus disease 2019 organizing pneumonia confirmed pathologically by video‐assisted thoracoscopic surgery
title_full Post‐coronavirus disease 2019 organizing pneumonia confirmed pathologically by video‐assisted thoracoscopic surgery
title_fullStr Post‐coronavirus disease 2019 organizing pneumonia confirmed pathologically by video‐assisted thoracoscopic surgery
title_full_unstemmed Post‐coronavirus disease 2019 organizing pneumonia confirmed pathologically by video‐assisted thoracoscopic surgery
title_short Post‐coronavirus disease 2019 organizing pneumonia confirmed pathologically by video‐assisted thoracoscopic surgery
title_sort post coronavirus disease 2019 organizing pneumonia confirmed pathologically by video assisted thoracoscopic surgery
topic coronavirus disease 2019
corticosteroid
organizing pneumonia
severe acute respiratory syndrome coronavirus 2
video‐assisted thoracoscopic surgery
url https://doi.org/10.1002/rcr2.871
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