A case of acute exacerbation of idiopathic interstitial pneumonia after pneumonectomy
Sugino, S.; Kanaya, N.; Namiki, A.
Masui. Japanese Journal of Anesthesiology 49(2): 187-190
2000
ISSN/ISBN: 0021-4892 PMID: 10707526 Document Number: 525818
A 52-year-old male was scheduled for right upper lobectomy due to lung cancer. The patient was diagnosed as having stable idiopathic interstitial pneumonia (IIP) based on preoperative lung biopsy, physical examination and laboratory data. He received prophylactic steroids to prevent an acute exacerbation of IIP. However, he fell into severe hypoxia 5 days after operation, and died of respiratory failure 43 days after operation. It must be born in mind that the patients with IIP may suffer exacerbation even if their lungs have been diagnosed as in stable stage. Prophylactic use of steroids may cause a deterioration in IIP due to delayed healing and infection.