Coronavirus disease 2019 covid 19 the highly contagious infectious disease caused by severe acute respiratory syndrome coronavirus 2 sars cov 2 has had a catastrophic effect on the worlds demographics resulting in more than 29 million deaths worldwide emerging as the most consequential global health crisis since the era of the influenza pandemic of 1918. Lung transplant is used as a treatment modality for a wide variety of disorders that lead to end stage lung disease with the most common ones being copd ipf cf 1 antitrypsin deficiency and idiopathic pulmonary arterial hypertension both single lung and double lung transplantation procedures are increasingly being performed however the availability of donor lungs is the main limiting . For those patients who require unacceptably high long term doses of corticosteroids eg prednisone 15 25 mg day or who do not respond to anti inflammatory therapies several drugs have been used including azathioprine 28 ivig immunomodulatory but also anti viral 29 30 and anakinra a recombinant il 1 receptor antagonist 31 32 but strong evidence based data are lacking web table . Treatment of viral pneumonia focuses on supportive care such as easing symptoms maintaining hydration and monitoring vital signs in some cases antiviral drugs may be used in some cases
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