PMC10032339_01
Chest X-ray image showing a bilateral diffuse symmetric reticular interstitial shadow (A). A chest computed tomography scan showing bilateral asymmetric patchy mosaic appearance and ground-glass opacities in the lung subpleural peripheral regions (B and C).
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C-reactive protein level of 3.75 mg/dL (normal: <=0.04 mg/dL), lactate dehydrogenase level of 499 IU/L (normal range:124-222 IU/L), and KL-6 level of 595 IU/L (normal: <=500 IU/L). Chest radiography revealed a bilateral, diffuse, and symmetric reticular interstitial shadow (Figure 1A). Additionally, chest computed tomography revealed a bilateral, asymmetric, and patchy mosaic appearance, as well as ground-glass opacities in the lung subpleural peripheral regions (Figure 1B and C).
Clinical course of the patient in the present case.
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At discharge, oral atovaquone was switched to a prophylactic dose (1500 mg once daily), while mPSL was switched to oral prednisolone, which was gradually tapered off (Figure 2).