Author: Ishiguro, Takashi; Kobayashi, Yasuhito; Uozumi, Ryuji; Takata, Naomi; Takaku, Yotaro; Kagiyama, Naho; Kanauchi, Tetsu; Shimizu, Yoshihiko; Takayanagi, Noboru
Title: Viral Pneumonia Requiring Differentiation from Acute and Progressive Diffuse Interstitial Lung Diseases Document date: 2019_12_15
ID: 6zzunn00_35
Snippet: Most of the patients in the present study received corticosteroid therapy because they were misdiagnosed as having ILDs. The use of corticosteroids for the treatment of viral pneumonia is controversial. Corticosteroids have been reported to be ineffective in the treatment of RSV in children (28) . However, some data suggest favorable effects on varicella-zoster virus (in combination with acyclovir) and hantavirus (29) and in influenza-associated .....
Document: Most of the patients in the present study received corticosteroid therapy because they were misdiagnosed as having ILDs. The use of corticosteroids for the treatment of viral pneumonia is controversial. Corticosteroids have been reported to be ineffective in the treatment of RSV in children (28) . However, some data suggest favorable effects on varicella-zoster virus (in combination with acyclovir) and hantavirus (29) and in influenza-associated pneumonia in some clinical settings (30, 31) . In our 13 patients with influenza-associated pneumonia, corticosteroids were administered without NIs to 6 patients, and were effective. Among the patients with viral pneumonia due to non-influenza viruses, corticosteroids were administered to 21 patients, 1 of whom did not survive; however, they were effective in the other 20 patients (95.2%). The significance of corticosteroid therapy for viral pneumonia should be addressed in future studies.
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