A Case Report of Steroid-Resistant Cryptogenic Organizing Pneumonia Managed with Intravenous Immunoglobulins

Authors

Christian Akem Dimala, Dept. of Internal Medicine, Reading Hospital-Tower Health, West Reading, PA.Follow
Urvi Patel, Dept. of Internal Medicine, Reading Hospital-Tower Health, West Reading, PA.Follow
Benjamin J. Lloyd, Dept. of Internal Medicine, Reading Hospital-Tower Health, West Reading, PA.Follow
Anthony Donato, Dept. of Internal Medicine, Reading Hospital-Tower Health, West Reading, PA.Follow
William Kimmel, Dept. of Pathology, Reading Hospital-Tower Health, West Reading, PAFollow
Robert Hallowell, Department of Pulmonary & Critical Care Medicine, Massachusetts General Hospital, Boston, MA
Caitlyn Moss, Dept. of Internal Medicine, Reading Hospital-Tower Health, West Reading, PA.Follow

Document Type

Article

Publication Date

11-2021

Abstract

Fewer than ten reported cases of cryptogenic organizing pneumonia (COP) have been managed with intravenous immunoglobulins (IVIg). We report a case of a 72-year-old man who presented with a worsening cough and diffuse opacities on chest radiograph. Following no improvement with antibiotics and negative complementary investigations for infectious, malignant, and autoimmune etiologies, COP was confirmed on lung biopsy. Due to continued clinical deterioration despite high-dose steroids and new severe steroid-induced hallucinations, the patient was placed on intravenous immunoglobulins (IVIg) and mycophenolate mofetil and made a satisfactory recovery. IVIg should be considered as an important steroid-sparing alternative in patients with COP.

Publication Title

Case Reports in Pulmonology

Volume

2021

Recommended Citation

Akem Dimala, C., Patel, U., Lloyd, B. J., Donato, A., Kimmel, W., Hallowell, R., & Moss, C. (2021). A Case Report of Steroid-Resistant Cryptogenic Organizing Pneumonia Managed with Intravenous Immunoglobulins. Case Reports in Pulmonology, 2021 https://doi.org/10.1155/2021/9343491