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Extracorporeal life support and continuous renal replacement therapy in a patient with Enterovirus A71 associated cardiopulmonary failure: A case report.
Bao, Nguyen Trung; Luan, Vo Thanh; Liem, Bui Thanh; Nhu, Vo Hoang Thien; Viet, Do Chau; Tung, Trinh Huu; Burza, Sakib; Thanh, Nguyen Tat.
Afiliación
  • Bao NT; Department of Infectious Diseases, Children Hospital No.2, Ho Chi Minh City, Vietnam.
  • Luan VT; Department of Infectious Diseases, Children Hospital No.2, Ho Chi Minh City, Vietnam.
  • Liem BT; Department of Infectious Diseases, Children Hospital No.2, Ho Chi Minh City, Vietnam.
  • Nhu VHT; Faculty of Pediatrics, University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam.
  • Viet DC; University of Medical Center, Ho Chi Minh City, Vietnam.
  • Tung TH; Department of Infectious Diseases, Children Hospital No.2, Ho Chi Minh City, Vietnam.
  • Burza S; Department of Infectious Diseases, Children Hospital No.2, Ho Chi Minh City, Vietnam.
  • Thanh NT; London School of Hygiene and Tropical Medicine, London, United Kingdom.
Medicine (Baltimore) ; 103(1): e36797, 2024 Jan 05.
Article en En | MEDLINE | ID: mdl-38181280
ABSTRACT
RATIONALE Hand-foot-mouth disease (HFMD) caused by Enterovirus A71, complicated by cardiopulmonary failure, is associated with a high mortality rate despite intensive treatment. To date, there is a paucity of clinical management data, regarding the use of extracorporeal life support (VA-ECMO) for Enterovirus-A71 associated cardiopulmonary failure reported. PATIENT CONCERNS The patient in this study presented with severe HFMD complicated by cardiopulmonary failure, polymorphic ventricular tachycardia, and cardiac arrest. DIAGNOSES Clinical presentations, laboratory data, and polymerase chain reaction (PCR) results from rectal swabs were used to confirm the diagnosis of severe HFMD caused by Enterovirus A71.

INTERVENTIONS:

The patient was managed with chest compression and an automatic external defibrillator, mechanical ventilation, intravenous immunoglobulin (IVIG), continuous renal replacement therapy (CRRT) and inotrope (milrinone). The patient did not respond to these interventions and subsequently required further management with VA-ECMO.

OUTCOMES:

The patient achieved a favorable outcomes. LESSONS Our study highlights that extracorporeal membrane oxygenation and CRRT can enhance the survival outcomes of patients with severe HFMD with cardiopulmonary failure complications. Furthermore, we propose specific indications for the initiation of VA-ECMO.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Oxigenación por Membrana Extracorpórea / Enterovirus / Infecciones por Enterovirus / Terapia de Reemplazo Renal Continuo / Enfermedad de Boca, Mano y Pie Tipo de estudio: Risk_factors_studies Límite: Humans Idioma: En Revista: Medicine (Baltimore) Año: 2024 Tipo del documento: Article País de afiliación: Vietnam Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Oxigenación por Membrana Extracorpórea / Enterovirus / Infecciones por Enterovirus / Terapia de Reemplazo Renal Continuo / Enfermedad de Boca, Mano y Pie Tipo de estudio: Risk_factors_studies Límite: Humans Idioma: En Revista: Medicine (Baltimore) Año: 2024 Tipo del documento: Article País de afiliación: Vietnam Pais de publicación: Estados Unidos