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Use of Extracorporeal Membrane Oxygenation in Pneumocystis Pneumonia of an Infant with AIDS
Joint Authors
Cane, Grégoire
De Boislambert, Arnaud
Sgro, Charlotte
Lavedan, Pierre
Foulgoc, Hélène
Tafer, Nadir
Ouattara, Alexandre
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-11-18
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Pneumocystis pneumonia is a common complication of cellular immunosuppression and may trigger severe pulmonary complications.
Rapid onset of acquired immunodeficiency syndrome is possible in infants infected with human immunodeficiency virus (HIV).
We report here the case of a 13-week-old girl who was previously healthy presenting with altered immunity and refractory acute respiratory distress syndrome (ARDS) initially attributed to bacterial pneumonia.
Venovenous extracorporeal membrane oxygenation (VV-ECMO) was initiated because her condition was poor.
An HIV infection was later fortuitously diagnosed after accidental exposure of a nurse to the child’s urine.
The mother had congenitally transmitted HIV to the child after late (undetected) infection during pregnancy.
The lung lesions were finally attributed to Pneumocystis pneumonia.
We prescribed combined antiretroviral, antibiotic, and steroid therapy aimed at preventing immune reconstitution inflammatory syndrome.
VV-ECMO weaning progressed over 30 days to the time of decannulation, rapidly followed by extubation and hospital discharge.
The case highlights the fact that rare curable causes of refractory pediatric ARDS should always be investigated early.
VV-ECMO should not be excluded as an ARDS treatment for immunocompromised children.
American Psychological Association (APA)
Cane, Grégoire& De Boislambert, Arnaud& Sgro, Charlotte& Lavedan, Pierre& Foulgoc, Hélène& Tafer, Nadir…[et al.]. 2020. Use of Extracorporeal Membrane Oxygenation in Pneumocystis Pneumonia of an Infant with AIDS. Case Reports in Pediatrics،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1150758
Modern Language Association (MLA)
Cane, Grégoire…[et al.]. Use of Extracorporeal Membrane Oxygenation in Pneumocystis Pneumonia of an Infant with AIDS. Case Reports in Pediatrics No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1150758
American Medical Association (AMA)
Cane, Grégoire& De Boislambert, Arnaud& Sgro, Charlotte& Lavedan, Pierre& Foulgoc, Hélène& Tafer, Nadir…[et al.]. Use of Extracorporeal Membrane Oxygenation in Pneumocystis Pneumonia of an Infant with AIDS. Case Reports in Pediatrics. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1150758
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1150758