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Article in Japanese
Abstract
Case Report
Severe influenza-related viral pneumonia treated with early extracorporeal membrane oxygenation: A case report
Kiyofumi Shimojia Takashi Ogawaa Kozue Miyazakia Hiroshi Tsushimab Isao Murakamia
aDepartment of Respiratory Medicine, Higashihiroshima Medical Center
bDepartment of Cardiology Medicine, Higashihiroshima Medical Center
ABSTRACT
A 53-year-old woman with influenza and a rapidly deteriorating respiratory status was admitted to our hospital. Examination revealed severe hypoxemia and shock. We performed mechanical ventilation and intra-aortic balloon pumping, and administered a large amount of fluids and vasopressors. However, her condition did not improve. We subsequently performed extracorporeal membrane oxygenation (ECMO), upon which her respiratory and circulatory dynamics improved rapidly. She was discharged from the hospital without complications following medication treatment, rehabilitation, and nutritional therapy. She was diagnosed with primary influenza-related viral pneumonia and Takotsubo cardiomyopathy. ECMO may be an effective strategy for critically ill patients with acute respiratory failure when accompanied by early, careful, and accurate evaluation.
KEYWORDS
Influenza-related viral pneumonia Takotsubo cardiomyopathy Extracorporeal membrane oxygenation (ECMO)
Received 23 Jun 2017 ／ Accepted 13 Nov 2017
AJRS, 7(2): 109-113, 2018
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