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Two Cases of Severe COVID-19 Pneumonia Effectively Treated with Extracorporeal Membrane Oxygenation in Addition to Favipiravir and Corticosteroid.
Shinoda, Masahiro; Kamachi, Kenichi; Ota, Shinichiro; Yoshimatsu, Lynn; Boku, Ryuichi; Yoshida, Yuto; Hirouchi, Takatomo; Shinada, Kanako; Sato, Takashi; Morikawa, Miwa; Iwata, Koki; Matsumoto, Takashi; Shinkai, Masaharu.
Affiliation
  • Shinoda M; Department of Respiratory Medicine, Tokyo Shinagawa Hospital, Japan.
  • Kamachi K; Department of Surgery, Tokyo Shinagawa Hospital, Japan.
  • Ota S; Department of Respiratory Medicine, Tokyo Shinagawa Hospital, Japan.
  • Yoshimatsu L; Department of Respiratory Medicine, Tokyo Shinagawa Hospital, Japan.
  • Boku R; Department of Emergency Medicine, Tokyo Shinagawa Hospital, Japan.
  • Yoshida Y; Department of Respiratory Medicine, Tokyo Shinagawa Hospital, Japan.
  • Hirouchi T; Department of Respiratory Medicine, Tokyo Shinagawa Hospital, Japan.
  • Shinada K; Department of Respiratory Medicine, Tokyo Shinagawa Hospital, Japan.
  • Sato T; Department of Respiratory Medicine, Tokyo Shinagawa Hospital, Japan.
  • Morikawa M; Department of Respiratory Medicine, Tokyo Shinagawa Hospital, Japan.
  • Iwata K; Department of Emergency Medicine, Tokyo Shinagawa Hospital, Japan.
  • Matsumoto T; Department of Cardiology, Tokyo Shinagawa Hospital, Japan.
  • Shinkai M; Department of Respiratory Medicine, Tokyo Shinagawa Hospital, Japan.
Intern Med ; 60(1): 123-130, 2021.
Article in En | MEDLINE | ID: mdl-33390469
ABSTRACT
Case 1 A 65-year-old man with novel coronavirus infection (COVID-19) complicated with acute respiratory failure. On admission, the patient was started on favipiravir and corticosteroid. However, due to a lack of significant improvement, he was introduced to mechanical ventilation and extracorporeal membrane oxygenation (ECMO). Although iliopsoas hematoma occurred as a complication, the patient recovered. Case 2 A 49-year-old man with COVID-19 had been started on favipiravir and corticosteroid. Due to progressive respiratory failure, the patient underwent mechanical ventilation and ECMO. The patient recovered without complications. We successfully treated these severe cases with a multimodal combination of pharmacological and non-pharmacological supportive therapy.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Antiviral Agents / Pyrazines / Respiration, Artificial / Methylprednisolone / Extracorporeal Membrane Oxygenation / Adrenal Cortex Hormones / Amides / COVID-19 Limits: Aged / Humans / Male / Middle aged Language: En Journal: Intern Med Journal subject: MEDICINA INTERNA Year: 2021 Document type: Article Affiliation country: Japan
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Antiviral Agents / Pyrazines / Respiration, Artificial / Methylprednisolone / Extracorporeal Membrane Oxygenation / Adrenal Cortex Hormones / Amides / COVID-19 Limits: Aged / Humans / Male / Middle aged Language: En Journal: Intern Med Journal subject: MEDICINA INTERNA Year: 2021 Document type: Article Affiliation country: Japan