Extracorporeal Membrane Oxygenation Support in a Situation of Diagnostic Dilemma

Severe acute respiratory distress syndrome (ARDS) in children carries a high morbidity and mortality. High frequency ventilation and extracorporeal membrane oxygenation (ECMO) are used as rescue modes of support in difficult situations. Malignancy may be considered to be a relative contraindication...

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Veröffentlicht in:	Heart, lung & circulation lung & circulation, 2012-12, Vol.21 (12), p.821-823
Hauptverfasser:	Elahi, Maqsood M, Houng, Chew, Trahair, Toby, Ravindranathan, Hari, Grant, Peter W
Format:	Artikel
Sprache:	eng
Schlagworte:	Antibodies, Monoclonal, Murine-Derived - therapeutic use Antiviral Agents - therapeutic use Axonal neuropathy Cardiovascular Child, Preschool Clinical Spotlight Epstein-Barr Virus Infections - complications Epstein-Barr Virus Infections - drug therapy Extracorporeal Membrane Oxygenation Hepatomegaly Herpesvirus 4, Human High-Frequency Ventilation Humans Infection Male Pneumonia Primary EBV infection Rituximab Severe Acute Respiratory Syndrome - therapy Severe Acute Respiratory Syndrome - virology
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Zusammenfassung:	Severe acute respiratory distress syndrome (ARDS) in children carries a high morbidity and mortality. High frequency ventilation and extracorporeal membrane oxygenation (ECMO) are used as rescue modes of support in difficult situations. Malignancy may be considered to be a relative contraindication to ECMO support. We report a case where the decision was made to support the patient with ECMO for fulminant Epstein–Barr (EBV) infection while investigations were being done to exclude an underlying malignancy.
ISSN:	1443-9506 1444-2892
DOI:	10.1016/j.hlc.2012.04.014