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All patients who received corticosteroids had a higher incidence of hyperglycemia requiring prednisone take all at once in this study. Thus, in immunocompetent patients hospitalized with severe CAP, systemic corticosteroids should be considered given the possible mortality benefit of systemic corticosteroid treatment in this subgroup of patients.Prednisolone is excreted via the urine as free and conjugated metabolites, along with small amounts of unchanged prednisolone.
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