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Case Reports
. 2021;50(1):132-136.
doi: 10.1159/000509789. Epub 2020 Jul 28.

Identification of Complex Pneumonia during the Outbreak of COVID-19: Bacterial Pneumonia Combined with Acute Eosinophilic Pneumonia in Patients with Maintenance Hemodialysis

Qiong-Dan Hu  1 , Nan Mao  2 , Xin-Chun Huang  1 , Ding-Guo Chen  1 , Qiong Zhang  3
Affiliations
Case Reports

Identification of Complex Pneumonia during the Outbreak of COVID-19: Bacterial Pneumonia Combined with Acute Eosinophilic Pneumonia in Patients with Maintenance Hemodialysis

Qiong-Dan Hu et al. Blood Purif. 2021.

Abstract

It is of crucial importance to diagnose patients in a timely and clear manner during the outbreak of COVID-19. Different causes of pneumonia makes it difficult to differentiate COVID-19 from others. Hemodialysis patients are a special group of people in this outbreak. We present a successfully treated case of a patient with maintenance hemodialysis from acute eosinophilic pneumonia for using meropenem when treating bacterial pneumonia, avoiding possible panic and waste of quarantine materials in dialysis centers.

Keywords: Acute eosinophilic pneumonia; COVID-19; Hemodialysis; Meropenem.

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Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

Fig. 1
Fig. 1
Eosinophil levels increased significantly after meropenem administration and decreased significantly after methylprednisolone administration.
Fig. 2
Fig. 2
Changes in chest CT: after the use of antibiotics, the imaging performance of pulmonary inflammation did not improve, while after the use of meropenem, the pulmonary patchy shadow significantly increased and pleural effusion increased. After the use of methylprednisolone, the pulmonary inflammation was absorbed and finally cured. The imaging changes of the lung were consistent with the time nodes of eosinophil changes. CT, computed tomography. a 21st Jan. b31st Jan. c06th Feb. d06th Feb. e15th Feb. f12th Mar.
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