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_31
Snippet: Viral infection was detected in approximately half of patients with acute progressive lung diseases that required BAL for a differential diagnosis. Surprisingly, more than half of the patients with viral pneumonia were misdiagnosed as having some type of ILD on discharge. Most patients with viral pneumonia had received antibiotics but had responded poorly. The guidelines recommend considering viral pneumonia in non-responders to antibiotics (8); .....
Document: Viral infection was detected in approximately half of patients with acute progressive lung diseases that required BAL for a differential diagnosis. Surprisingly, more than half of the patients with viral pneumonia were misdiagnosed as having some type of ILD on discharge. Most patients with viral pneumonia had received antibiotics but had responded poorly. The guidelines recommend considering viral pneumonia in non-responders to antibiotics (8); however, respiratory physicians frequently misdiagnosed viral pneumonia as ILD or suspected ILD. Our results suggest the importance of including viral pneumonia in the differential diagnosis of patients with acute and progressive disease suggestive of an ILD.
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