Extracorporeal Membrane Oxygenation for Acute Respiratory Distress Syndrome following HAART Initiation in an HIV-infected Patient Being Treated for Severe Pneumocystis jirovecii Pneumonia: Case Report and Literature Review / 대한중환자의학회지
Korean Journal of Critical Care Medicine
; : 162-168, 2016.
Article
in En
| WPRIM
| ID: wpr-42553
Responsible library:
WPRO
ABSTRACT
Pnuemocystis jirovecii pneumonia (PJP) is one of leading causes of acute respiratory failure in patients infected with human immunodeficiency virus (HIV), and the mortality rate remains high in mechanically ventilated HIV patients with PJP. There are several reported cases who received extracorporeal membrane oxygenation (ECMO) treatment for respiratory failure associated with severe PJP in HIV-infected patients. We report a patient who was newly diagnosed with HIV and PJP whose condition worsened after highly active antiretroviral therapy (HAART) initiation and progressed to acute respiratory distress syndrome requiring veno-venous ECMO. The patient recovered from PJP and is undergoing treatment with HAART. ECMO support can be an effective life-saving salvage therapy for acute respiratory failure refractory to mechanical ventilation following HAART in HIV-infected patients with severe PJP.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Pneumocystis
/
Pneumonia
/
Respiration, Artificial
/
Respiratory Distress Syndrome
/
Respiratory Insufficiency
/
Extracorporeal Membrane Oxygenation
/
Mortality
/
HIV
/
Salvage Therapy
/
Antiretroviral Therapy, Highly Active
Type of study:
Prognostic_studies
Limits:
Humans
Language:
En
Journal:
Korean Journal of Critical Care Medicine
Year:
2016
Type:
Article