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Short-Term Corticosteroid Therapy for Early Exacerbation of COVID-19 Pneumonia: A Case Report

Akira Urano, Hajime Kasai, Yushi Murai, Hideki Ikeda, Takashi Urushibara

(Department of Respiratory Medicine, Kimitsu Chuo Hospital, Kisarazu, Chiba, Japan)

Am J Case Rep 2020; 21:e924476

DOI: 10.12659/AJCR.924476


BACKGROUND: The effect of corticosteroids in the management of patients with coronavirus disease 2019 (COVID-19) is unclear.
CASE REPORT: A 67-year-old man who tested positive for COVID-19 by reverse-transcription PCR (RT-PCR) analysis was admitted to our hospital. On admission, he had no dyspnea and his oxygen saturation (SpO₂) level was normal. Chest imaging revealed ground-glass opacities (GGO) distributed in both lung fields. Four days after admission, bilateral lung shadows worsened, with a slight reduction in SpO₂ levels. Short-term corticosteroid therapy was initiated, and SpO₂ and radiographic findings promptly improved without use of antiviral agents.
CONCLUSIONS: More data are required to ascertain the role of corticosteroids in the management of COVID-19 pneumonia.

This paper has been published under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially.
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