Abstract
A 60-year-old male, undergoing regular hemodialysis therapy since 1994 presented with dyspnea and pyrexia just after the hemodialysis session. The patient had been well until 2 days before, when sore throat and general fatigue developed. Repeated chest radiographs demonstrated rapidly progressive pulmonary infiltration, and blood gas analysis disclosed severe hypoxia. The patient was intubated, and clinically diagnosed as having acute lung injury based on the criteria proposed by an American-European Consensus Conference. After the administration of high-dose corticosteroid (methyl-prednisolone, 500mg×3days) and imipenem, both pulmonary infiltration on chest radiograph and hypoxia improved immediately. The patient was extubated 2 days after the intubation, and followed a stable clinical course.
