PMC4336281_01
Computed tomography scans of the patient taken on the first ICU day. These images show the widespread bilateral peripheral field-dominant patchy consolidations accompanied with diffuse ground glass opacity.
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Fig1
A computed tomography (CT) examination of his chest revealed bilateral peripheral dominant patchy consolidations accompanied with diffuse ground glass opacity (Figure 1).
The ICU course of the patient.
BIPAP bilevel positive airway pressure, F
I
O
2 fraction of inspired oxygen, mPSL methylprednisolone, Nasal HF nasal high flow system, NPPV non-invasive positive pressure ventilation, PaCO
2 partial pressure of carbon dioxide, PaO
2 partial pressure of oxygen, PEEP positive end-expiratory pressure, PIP peak inspiratory pressure, PSV pressure support ventilation, sPSL soluble prednisolone, VV-ECMO veno-venous extracorporeal membrane oxygenation.
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PMC4336281_01_40560_2014_48_Fig2_HTML.jpg
Fig2
Unfortunately, that night, the patient developed severe hypoxemia and his consciousness rapidly deteriorated, so he was finally intubated and received MV (Figure 2).
Computed tomography scans of the patient taken on the 12th ICU day. These images show the amelioration of the consolidations of the bilateral lung fields.
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Fig3
After further several days, the consolidations in his bilateral lung field almost vanished (Figure 3), so we considered that he had successfully entered remission from the IPS.