Table 1.
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