PMC7450252_01
Radiologic and CT images. Chest X-ray shows consolidation and ground-glass opacities in both lung fields on the day of admission (a), which improved on a day before discharge (b). Chest CT indicates upper-lobe predominant emphysema and bilateral ground-glass opacity with traction bronchiectasis on the day of admission (c), which also improved on a day before discharge (d). Bilateral pleural effusion was also observed in this case.
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A chest X-ray revealed decreased lung permeability due to bilateral lung field consolidation and ground-glass shadows, and chest computed tomography (CT) scanning also showed bilateral ground-glass opacity with significant emphysematous changes in the bilateral apex of the lung, and bilateral pleural effusion (Fig. 1a and c). Chest radiological and CT images were improved (Fig. 1b and d), and the patient was discharged on day 21.
Clinical course. Treatment and oxygen supplementation course and changes in blood cell counts and C-reactive protein (CRP) in the patient. Abbreviations: AZM: azithromycin, Lym: lymphocytes, P/F ratio: a ratio of arterial oxygen partial pressure (PaO2 in mmHg) to fractional inspired oxygen (FiO2), PSL: prednisolone, TAZ/PIPC: tazobactam/piperacillin.
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On the first day of treatment, 1800 mg/body were administered every 12 hours, and from the second day, 800 mg/body were administered every 12 hours via nasogastric tube (Fig. 2).