Successful use of extracorporeal membrane oxygenation in an adult patient with toxic shock-induced heart failure.
J Intensive Care Med
; 30(2): 115-8, 2015 Feb.
Article
em En
| MEDLINE
| ID: mdl-24371250
ABSTRACT
Cardiomyopathy secondary to toxic shock syndrome (TSS) is an uncommon but potentially life-threatening problem. We report the case of a 51-year-old male who presented with profound cardiogenic shock and multiorgan failure that could not be managed by conventional therapy with intravenous fluids, vasopressors and inotropes. Venoarterial extracorporeal membrane oxygenation (VA ECMO) was instituted as a bridge to recovery. After administration of antibiotics and intravenous immunoglobulin, the patient's condition improved and he was successfully weaned off ECMO after 6 days. The patient recovered from multiorgan failure, and left ventricular ejection fraction improved from <10% pre-ECMO to 65% 8 months after discharge. This case supports the view that VA ECMO can be used successfully to support vital organ perfusion in patients with profound but reversible cardiomyopathy attributed to TSS.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Choque Cardiogênico
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Choque Séptico
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Infecções Estreptocócicas
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Infecções Cutâneas Estafilocócicas
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Oxigenação por Membrana Extracorpórea
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Úlcera da Perna
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Insuficiência de Múltiplos Órgãos
Limite:
Humans
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Male
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Middle aged
Idioma:
En
Revista:
J Intensive Care Med
Assunto da revista:
TERAPIA INTENSIVA
Ano de publicação:
2015
Tipo de documento:
Article
País de afiliação:
Estados Unidos