Skip to main content
. 2021 Jul 28;21:249. doi: 10.1186/s12890-021-01615-2

Table 1.

Cases of interstitial lung disease associated acute respiratory failure

Case Sex (f/m) Age (years) Smoking (Y\N) Comorbidity/history Diagnosis CT findings Pathology BAL Antibiotics Therapy (cd) In-hospital outcome, cause of death
1 F 62 Y Dermato-myositis PMH: Breast cancer Anti-MDA5 dermato-myositis OP with architectural distortion N/A ng Augmentin, ceftazidimea

MPSb 1 g

CYCc 600 mg/m2

Death, progressive respiratory failure
2 M 60 N

UCTD

AF, DM, OSAS

UCTD-ILD OP with architectural distortion N/A ng SDD

MPS 3 g

CYC 600 mg/m2

Survival
3 F 60 N AVNRT Medium-size-artery vasculitis Diffuse GGO and consolidation

Vasculitis

DAH

ng SDD

MPS 6 g

CYC 750 mg/m2 IVIG

Survival
4 M 41 N GPA GPA Diffuse GGO Eosinophilic necrotizing granulomatous inflammation ng SDD

MPS 3 g

Continuous oral CYC 2 mg/kg

Plasmapheresis

Survival
5 F 40 N

Neuro-fibromatosis type 1

RA

ANCA-negative small vessel vasculitis Diffuse GGO Vasculitis DAH ng SDD

MPS 12 g

CYC 750 mg/m2

IVIG

Plasmapheresis

Death

MOF

6 M 61 N None Methotrexate-induced lung injury Fibrotic NSIP N/A ng SDD moxifloxacina

MPS 3 g

CYC 600 mg/m2

Survival
7 M 55 Y Alcoholism, coronary heart disease AIP Diffuse GGO with architectural distorsion N/A ng

Augmentin

Doxycyclinea

MPS 3 g

CYC 500 mg/m2

ECLA

Death

Progressive respiratory failure

8 M 44 Y SLE SLE-related ILD NSIP N/A CMV

Ganciclovir

SDD

MPS 3 g

CYC 600 mg/m2

Plasmapheresis

Survival
9 M 72 Y

Poliomyelitis

PMH: esophageal carcinoma

AIP Diffuse GGO with architectural distorsion N/A ng

Oseltamivir

Ceftriaxone

Erythromycinea

MPS 3 g

CYC 600 mg/m2

Survival
10 M 52 N

MCTD

PMH: NHL

MCTD-ILD NSIP NA S.aureus

SDD

flucloxacillin

MPS 3 g

CYC 500 mg/m2

Survival
11 F 38 N SLE SLE Diffuse GGO N/A ng

Ceftriaxone

Azithromycina

MPS 3 g

Plasmapheresis

CYC 750 mg/m2

Survival
12 F 68 Y PMH: breast cancer and esophageal carcinoma Unclassified ILD Unclassified ILD with signs of fibrosis Fibrosis with organization ng SDD

MPS 6 g

CYC 600 mg/m2

Death

Progressive

respiratory failure

13 M 71 Y AF, HPT, RA AIP Diffuse GGO, with architectural distorsion DAD ng

Ceftriaxone

Ciprofloxacina

MPS 3 g

CYC 750 mg/m2

Survival
14 M 54 Y

DM

PMH: Hodgkin lymphoma

EAA Diffuse GGO N/A ng SDD

MPS 3 g

CYC 600 mg/m2

Death

Blocked tracheostomy

Progressive respiratory failure

15 M 56 Y DM, HPT, COPD Unclassified ILD Unclassified ILD with signs of fibrosis DAD ng

Augmentin

Ciprofloxacina

MPS 3 g

CYC 600 mg/m2

Death

AF, atrial fibrillation; AIP, acute interstitial pneumonia; ANCA, anti-neutrophil cytoplasmic antibody; AVNRT, atrioventricular nodal reentry tachycardia; COPD, chronic obstructive pulmonary disease; cd, cumulative dose; CT, computed tomography; CYC, cyclophosphamide; DAD, diffuse alveolar damage; DAH, diffuse alveolar hemorrhage; DM, diabetes mellitus; EAA, extrinsic allergic alveolitis; ECLA, extra corporeal lung assist; GGO, ground glass opacity; GPA, granulomatosis with polyangiitis; HPT, hypertension; ICU, intensive care unit; ILD, interstitial lung disease; IVIG, intravenous immunoglobulin; LOS, length of stay; MCTD, mixed connective tissue disease; MOF, multiple organ failure; MPS, methylprednisolone; N/A, not applicable; ng, no growth; NHL, non-Hodgkin lymphoma; NSIP, non-specific interstitial pneumonia; OP, organizing pneumonia; OSAS, obstructive sleep apnoea syndrome; PMH, past medical history; RA, rheumatoid arthritis; SDD, selective digestive decontamination; SLE, systemic lupus erythematosus; UCTD-ILD, undifferentiated connective tissue disease associated interstitial lung disease

aEmpirical antibiotic therapy

bMPS 1000 mg/day for 3 days

cCyclophosphamide single dose