PMID- 28659366
OWN - NLM
STAT- MEDLINE
DCOM- 20180409
LR  - 20220408
IS  - 1757-790X (Electronic)
IS  - 1757-790X (Linking)
VI  - 2017
DP  - 2017 Jun 28
TI  - Successful repeat ECMO in a patient with AIDS and ARDS.
LID - bcr-2017-219870 [pii]
LID - 10.1136/bcr-2017-219870 [doi]
LID - bcr2017219870
AB  - Veno-venous extracorporeal membrane oxygenation (ECMO) is being more commonly 
      used in patients with acute respiratory distress syndrome (ARDS) due to 
      potentially reversible illnesses. Survival from ARDS using ECMO has been reported 
      even in patients with AIDS. However, the indications for ECMO for ARDS due to 
      immune reconstitution inflammatory syndrome (IRIS) in patients with AIDS are 
      unknown. A 23-year-old man with AIDS and Pneumocystis jirovecii pneumonia was 
      admitted to the intensive care unit with severe ARDS refractory to mechanical 
      ventilator support requiring ECMO. Although ECMO was discontinued, a second 
      treatment with ECMO was necessary due to IRIS-associated ARDS, resulting in an 
      excellent patient outcome. This patient's clinical course suggests two important 
      messages. First, ECMO is a reasonable option for the treatment of patients with 
      ARDS even in a patient with AIDS. Second, ECMO may be effective for the treatment 
      of patients with IRIS.
CI  - (c) BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 
      2017. All rights reserved. No commercial use is permitted unless otherwise 
      expressly granted.
FAU - Horikita, Sho
AU  - Horikita S
AD  - Department of Anesthesiology and Critical Care Medicine, Jichi Medical University 
      Saitama Medical Center, Saitama, Saitama, Japan.
FAU - Sanui, Masamitsu
AU  - Sanui M
AUID- ORCID: 0000-0002-0184-0381
AD  - Department of Anesthesiology and Critical Care Medicine, Jichi Medical University 
      Saitama Medical Center, Saitama, Saitama, Japan.
FAU - Fujimoto, Yuki
AU  - Fujimoto Y
AD  - Department of Anesthesiology and Critical Care Medicine, Jichi Medical University 
      Saitama Medical Center, Saitama, Saitama, Japan.
FAU - Lefor, Alan Kawarai
AU  - Lefor AK
AD  - Department of Surgery, Jichi Medical University, Shimotsuke, Tochigi, Japan.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20170628
PL  - England
TA  - BMJ Case Rep
JT  - BMJ case reports
JID - 101526291
SB  - IM
MH  - AIDS-Related Opportunistic Infections/*complications/microbiology
MH  - Acquired Immunodeficiency Syndrome/*complications
MH  - Adult
MH  - Critical Care
MH  - *Extracorporeal Membrane Oxygenation
MH  - Humans
MH  - Immune Reconstitution Inflammatory Syndrome/complications/*therapy
MH  - Intensive Care Units
MH  - Male
MH  - Pneumocystis carinii
MH  - Pneumonia/complications/microbiology
MH  - Respiratory Distress Syndrome/etiology/*therapy
MH  - Treatment Outcome
MH  - Young Adult
PMC - PMC5534656
OTO - NOTNLM
OT  - Adult Intensive Care
OT  - Hiv / Aids
OT  - Mechanical Ventilation
OT  - Pneumonia (infectious Disease)
COIS- Competing interests: None declared.
EDAT- 2017/07/01 06:00
MHDA- 2018/04/10 06:00
PMCR- 2017/06/28
CRDT- 2017/06/30 06:00
PHST- 2017/06/30 06:00 [entrez]
PHST- 2017/07/01 06:00 [pubmed]
PHST- 2018/04/10 06:00 [medline]
PHST- 2017/06/28 00:00 [pmc-release]
AID - bcr-2017-219870 [pii]
AID - 10.1136/bcr-2017-219870 [doi]
PST - epublish
SO  - BMJ Case Rep. 2017 Jun 28;2017:bcr2017219870. doi: 10.1136/bcr-2017-219870.