case_images: PMC4336281_01
case_images: Computed tomography scans of the patient taken on the first ICU day. These images show the widespread bilateral peripheral field-dominant patchy consolidations accompanied with diffuse ground glass opacity.
case_images: 40560_2014_48_Fig1_HTML.jpg
case_images: PMC4336281_01_40560_2014_48_Fig1_HTML.jpg
case_images: Fig1
case_images: A computed tomography (CT) examination of his chest revealed bilateral peripheral dominant patchy consolidations accompanied with diffuse ground glass opacity (Figure 1).
case_images: The ICU course of the patient.
  BIPAP bilevel positive airway pressure, F
  I
  O
  2 fraction of inspired oxygen, mPSL methylprednisolone, Nasal HF nasal high flow system, NPPV non-invasive positive pressure ventilation, PaCO
  2 partial pressure of carbon dioxide, PaO
  2 partial pressure of oxygen, PEEP positive end-expiratory pressure, PIP peak inspiratory pressure, PSV pressure support ventilation, sPSL soluble prednisolone, VV-ECMO veno-venous extracorporeal membrane oxygenation.
case_images: 40560_2014_48_Fig2_HTML.jpg
case_images: PMC4336281_01_40560_2014_48_Fig2_HTML.jpg
case_images: Fig2
case_images: Unfortunately, that night, the patient developed severe hypoxemia and his consciousness rapidly deteriorated, so he was finally intubated and received MV (Figure 2).
case_images: Computed tomography scans of the patient taken on the 12th ICU day. These images show the amelioration of the consolidations of the bilateral lung fields.
case_images: 40560_2014_48_Fig3_HTML.jpg
case_images: PMC4336281_01_40560_2014_48_Fig3_HTML.jpg
case_images: Fig3
case_images: After further several days, the consolidations in his bilateral lung field almost vanished (Figure 3), so we considered that he had successfully entered remission from the IPS.