Use of Direct Hemoperfusion with Polymyxin B-Immobilized Fiber for the Treatment of Septic Shock Complicated with Lemierre Syndrome Caused by Fusobacterium necrophorum
Joint Authors
Takahashi, Gaku
Kodama, Yoshiyuki
Kan, Shigenori
Masuda, Takayuki
Ishibe, Yoriko
Akimaru, Rise
Nonoguchi, Maria
Inoue, Yoshihiro
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-07-30
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
We report a case of septic shock treated with PMX-DHP that was complicated with Lemierre syndrome caused by Fusobacterium necrophorum.
The patient was a 31-year-old man who was initially diagnosed with influenza.
He received treatment; however, because his symptoms gradually worsened, he was transported to our hospital 10 days following his diagnosis.
His initial examination revealed symptoms of respiratory distress and an altered level of consciousness.
Based on laboratory and imaging results, it became clear that he suffered from septic shock of unknown etiology, disseminated intravascular coagulation, and acute renal and respiratory failure.
We initiated treatment with vasopressors, an antibacterial agent, immunoglobulins as well as an appropriate ventilator management; however, his unstable circulatory condition continued.
As soon as PMX-DHP was initiated, 2 days following admission to the ICU, his circulatory instability normalized.
F.
necrophorum was ultimately detected after a culture examination, and contrast-enhanced computed tomography revealed a jugular vein thrombus, which led to the diagnosis of Lemierre syndrome.
The patient’s condition gradually improved, and he was discharged from the ICU after 19 days.
American Psychological Association (APA)
Kodama, Yoshiyuki& Takahashi, Gaku& Kan, Shigenori& Masuda, Takayuki& Ishibe, Yoriko& Akimaru, Rise…[et al.]. 2019. Use of Direct Hemoperfusion with Polymyxin B-Immobilized Fiber for the Treatment of Septic Shock Complicated with Lemierre Syndrome Caused by Fusobacterium necrophorum. Case Reports in Critical Care،Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1134249
Modern Language Association (MLA)
Kodama, Yoshiyuki…[et al.]. Use of Direct Hemoperfusion with Polymyxin B-Immobilized Fiber for the Treatment of Septic Shock Complicated with Lemierre Syndrome Caused by Fusobacterium necrophorum. Case Reports in Critical Care No. 2019 (2019), pp.1-5.
https://search.emarefa.net/detail/BIM-1134249
American Medical Association (AMA)
Kodama, Yoshiyuki& Takahashi, Gaku& Kan, Shigenori& Masuda, Takayuki& Ishibe, Yoriko& Akimaru, Rise…[et al.]. Use of Direct Hemoperfusion with Polymyxin B-Immobilized Fiber for the Treatment of Septic Shock Complicated with Lemierre Syndrome Caused by Fusobacterium necrophorum. Case Reports in Critical Care. 2019. Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1134249
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1134249