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Comment
. 2022 Feb;57(2):583-585.
doi: 10.1002/ppul.25744. Epub 2021 Nov 2.

Severe COVID-19 evolving towards organizing pneumonia in a pediatric lung transplant recipient

Affiliations
Comment

Severe COVID-19 evolving towards organizing pneumonia in a pediatric lung transplant recipient

David Drummond et al. Pediatr Pulmonol. 2022 Feb.
No abstract available

PubMed Disclaimer

Conflict of interest statement

Pierre Frange is a consultant for and has received travel support from MSD France. Other authors declare that there are no conflict of interests.

Figures

Figure 1
Figure 1
Evolution of chest CT‐scans over time. (A) Month 9 (M9) postlung‐transplantation: normal aspect of the control CT scan. (B) M10, SARS‐Cov2 infection: onset of diffuse ground‐glass opacities predominantly in the posterior subpleural regions. (C) M10, 3 weeks after diagnosis of SARS‐Cov‐2 infection: partial regression of the anomalies with some scattered ground glass areas of lower density remaining. (D) M11, recurrence of the disease: new increase of ground glass opacities and development of bilateral subpleural consolidation areas. (E) M12, 1 month after the recurrence: progression of the consolidations towards retractile opacities associated with traction bronchiectasis and subpleural reticular images in favor of an evolution towards fibrosis. (F) M16, 4 months after the recurrence: improvement but persistence of subpleural reticular opacities and traction bronchiectasis. CT, computed tomography; SARS‐Cov2, severe acute respiratory syndrome coronavirus 2
Figure 2
Figure 2
Evolution of histopathology on transbronchial biopsies. (A) Month 11 (M11), recurrence of the disease: acute lung injury with fibrin deposits (star), interstitial inflammation, and pneumocytes hypertrophy in favor of organizing pneumonia (arrow) (hematoxylin eosin saffron stain, ×200 magnification). (B) M16, 4 months after the recurrence: fibrotic evolution with fibrotic plugs in alveoli (star) (hematoxylin eosin saffron stain, ×100 magnification) [Color figure can be viewed at wileyonlinelibrary.com]

Comment on

  • COVID-19 in children treated with immunosuppressive medication for kidney diseases.
    Marlais M, Wlodkowski T, Al-Akash S, Ananin P, Bandi VK, Baudouin V, Boyer O, Vásquez L, Govindan S, Hooman N, Ijaz I, Loza R, Melgosa M, Pande N, Pape L, Saha A, Samsonov D, Schreuder MF, Sharma J, Siddiqui S, Sinha R, Stewart H, Tasic V, Tönshoff B, Twombley K, Upadhyay K, Vivarelli M, Weaver DJ, Woroniecki R, Schaefer F, Tullus K. Marlais M, et al. Arch Dis Child. 2021 Jul 19;106(8):798-801. doi: 10.1136/archdischild-2020-320616. Arch Dis Child. 2021. PMID: 33355203 Free PMC article.

References

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