[A case of acute exacerbation of idiopathic interstitial pneumonia after pneumonectomy].
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.
Sugino
S
S
Department of Anesthesiology, Sapporo Medical University, School of Medicine.
Kanaya
N
N
Namiki
A
A
D000893:Anti-Inflammatory Agents / Q000009:adverse effects*; D000075202:Contraindications; D018450:Disease Progression; D006801:Humans; D017563:Lung Diseases, Interstitial / Q000209:etiology* / Q000517:prevention & control; D008175:Lung Neoplasms / Q000601:surgery; D008297:Male; D008775:Methylprednisolone / Q000009:adverse effects*; D008875:Middle Aged; D011013:Pneumonectomy / Q000009:adverse effects*; D011182:Postoperative Care; D011239:Prednisolone / Q000009:adverse effects*
D000893:Anti-Inflammatory Agents; D011239:Prednisolone; D008775:Methylprednisolone