Asunto(s)
Registros Electrónicos de Salud , Sepsis , Humanos , Hong Kong/epidemiología , Sepsis/mortalidad , Registros Electrónicos de Salud/estadística & datos numéricos , Incidencia , Masculino , Femenino , Persona de Mediana Edad , Anciano , Adulto , Anciano de 80 o más Años , Adulto Joven , Adolescente , LactanteRESUMEN
Mycoplasma pneumoniae infection usually presents with upper and lower respiratory tract infection. Extrapulmonary involvement is not uncommon, however. We report two cases of predominantly extrapulmonary manifestations of Mycoplasma pneumoniae infection without significant pulmonary involvement. Both cases were diagnosed by serology. These cases illustrate the diversity of clinical presentations of Mycoplasma pneumoniae infection. Clinicians should maintain a high index of suspicion.
Asunto(s)
Edema Encefálico/microbiología , Eritema Multiforme/microbiología , Neumonía por Mycoplasma/complicaciones , Resultado Fatal , Humanos , Masculino , Persona de Mediana Edad , Mycoplasma pneumoniae , Neumonía por Mycoplasma/sangre , Neumonía por Mycoplasma/microbiología , Pruebas Serológicas , Adulto JovenAsunto(s)
Gastrectomía/efectos adversos , Íleon/patología , Laparoscopía/efectos adversos , Venas Mesentéricas , Obesidad Mórbida/cirugía , Trombosis de la Vena/diagnóstico , Gangrena , Humanos , Ileostomía , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias/diagnóstico , Complicaciones Posoperatorias/diagnóstico por imagen , Tomografía Computarizada por Rayos X , Trombosis de la Vena/diagnóstico por imagen , Trombosis de la Vena/cirugíaRESUMEN
We report the first fatality caused by novel influenza A (H1N1) infection despite having the diagnosis confirmed and being given antiviral treatment after hospitalisation. This patient was also the first with influenza A (H1N1) to be supported with extracorporeal membrane oxygenation in Hong Kong. Although extracorporeal membrane oxygenation is an effective means of supporting patients with refractory hypoxaemia on high mechanical ventilatory support, it is labour-intensive and technically demanding. We also discuss the challenges faced when managing this case.