Exercise-based pulmonary rehabilitation for a post-COVID-19 pulmonary fibrosis patient: A case report

Medicine (Baltimore). 2021 Nov 24;100(47):e27980. doi: 10.1097/MD.0000000000027980.

Abstract

Rationale: Pulmonary fibrosis is an infamous sequela of coronavirus disease 2019 (COVID-19) pneumonia leading to long-lasting respiratory problems and activity limitations. Pulmonary rehabilitation is beneficial to improve the symptoms of lung fibrosis. We experienced a post-COVID-19 pulmonary fibrosis patient who received a structured exercise-based pulmonary rehabilitation program.

Patient concerns: This article presents a case of successful pulmonary rehabilitation of a patient with post-COVID-19 pulmonary fibrosis. The patient could not cut off the oxygen supplement even after a successful recovery from COVID-19.

Diagnosis: Diagnosis of COVID-19 was based on the reverse transcription-polymerase chain reaction (RT-PCR). Pulmonary fibrosis was diagnosed by patient's complaint, clinical appearance, and computed tomography (CT) on chest.

Intervention: The patient underwent ten sessions of exercise-based rehabilitation program according to Consensus Document on Pulmonary Rehabilitation in Korea, 2015.

Outcome: On the 8th day, he could cut off the oxygen supplementation and complete the one-hour exercise without oxygen. He was discharged after completing the 10-session program without any activity limitations.

Lessons: Exercise-based pulmonary rehabilitation will help the post-COVID-19 pulmonary fibrosis patients. This case suggested the importance of pulmonary rehabilitation program to the post-COVID-19 pulmonary fibrosis patient.

Publication types

  • Case Reports

MeSH terms

  • COVID-19 / complications*
  • COVID-19 / diagnosis
  • COVID-19 Testing
  • Humans
  • Lung / diagnostic imaging*
  • Lung / pathology
  • Male
  • Middle Aged
  • Oxygen
  • Pulmonary Fibrosis / diagnostic imaging
  • Pulmonary Fibrosis / etiology
  • Pulmonary Fibrosis / rehabilitation*
  • Reverse Transcriptase Polymerase Chain Reaction
  • SARS-CoV-2
  • Tomography, X-Ray Computed

Substances

  • Oxygen