[Recurrence of the acute respiratory distress syndrome (ARDS) in a patient with Sai-rei-to-induced pneumonitis].

摘要: An 83-year-old woman was admitted to our hospital because of fever and difficulty in walking with marked hypoxemia diffuse ground glass opacities bilateral lung fields by chest radiography CT scanning. Treatment antibiotics corticosteroids resulted improvement the clinical findings successful weaning from mechanical ventilation. At first, we diagnosed severe mycoplasma pneumonia a 2560 titer particle agglutiation (PA) test. Five days after discharge, she given second emergency admission, walking. Chest X-ray film revealed administration methylprednisolone. Her detailed medical history proved that had been treated Chinese herbal drug, Sai-rei-to, for several weeks before first admission. We finally her disease as Sai-rei-to-induced pneumonitis. Despite intensive treatment, died. The histopathological (H-E stain) autopsied lungs showed hyaline membrane formation hyperplasia type II alveolar epithelium cells, so-called, damage. This case other referred literature suggest pneumonitis can become severe.