Extracorporeal membrane oxygenation for tuberculosis pneumonia with empyema

Autor: Santiago Besa, Álvaro J. Morales, Patricio Salas, Sebastián Bravo M, Luis Garrido-Olivares
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Respiratory Medicine Case Reports, Vol 34, Iss , Pp 101481- (2021)
Druh dokumentu: article
ISSN: 2213-0071
DOI: 10.1016/j.rmcr.2021.101481
Popis: Acute respiratory distress syndrome (ARDS) caused by Mycobacterium Tuberculosis (TB) is a rare entity. Extracorporeal membrane oxygenation (ECMO) therapy had been used as an effective therapy for this cases, but the evidence is scarce. We present a case that took place in the middle of SARS-CoV2 pandemic. A 33-year-old female presented with ARDS due to pulmonary TB infection (pneumonia with empyema and pneumothorax), which required invasive mechanical ventilation with poor response. Long term veno-arterio-venous (VAV) ECMO, overlapped with veno-venous ECMO, was used as a salvage therapy with a good response for a total of 26 days. This is an example of the effectiveness of this therapy in this scenario, never described before. The fact that this therapy was used in the middle of SARS-CoV2 pandemic, with limited resources available, was remarkable, but it was encouraged by previous successful experiences.
Databáze: Directory of Open Access Journals