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ARDS from miliary tuberculosis successfully treated with ECMO

ARDS from miliary tuberculosis successfully treated with ECMO

Title: ARDS from miliary tuberculosis successfully treated with ECMO
Author: Vesteinsdottir, Edda   orcid.org/0000-0001-7782-652X
Myrdal, Gunnar
Sverrisson, Kristinn Orn
Skarphedinsdottir, Sigurbjorg J.
Gudlaugsson, Olafur
Karason, Sigurbergur   orcid.org/0000-0003-0726-4378
Date: 2019-01-01
Language: English
Scope: 165-167
University/Institute: Háskóli Íslands
University of Iceland
School: Heilbrigðisvísindasvið (HÍ)
School of Health Sciences (UI)
Department: Læknadeild (HÍ)
Faculty of Medicine (UI)
Series: Respiratory Medicine Case Reports;26
ISSN: 2213-0071
DOI: 10.1016/j.rmcr.2019.01.005
Subject: Acute respiratory distress syndrome (ARDS); Antitubercular agents; Critical care; Extracorporeal membrane oxygenation (ECMO); Tuberculosis; Öndunarfærasjúkdómar; Berklar
URI: https://hdl.handle.net/20.500.11815/2117

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Vesteinsdottir, E., Myrdal, G., Sverrisson, K., Skarphedinsdottir, S., Gudlaugsson, O., & Karason, S. (2019). ARDS from miliary tuberculosis successfully treated with ECMO. Respiratory Medicine Case Reports, 26, 165-167.


Tuberculosis is a rare cause of acute respiratory distress syndrome (ARDS) and mortality rates are high in tuberculosis patients that need treatment with mechanical ventilation. Experience of the use of extracorporeal membrane oxygenation (ECMO) in such circumstances is scarce. We report the case of an 18 year old man where prolonged therapy (50 days) with extracorporeal membrane oxygenation (ECMO) allowed extensive lung damage from miliary tuberculosis to heal. The case reflects how challenging the diagnosis of tuberculosis may be and how difficult it is to reach adequate blood levels of anti-tuberculosis drugs while on ECMO. It's also an example of how indications for ECMO have been expanding the last years and that long term ECMO therapy is possible without serious complications.


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This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/BY-NC-ND/4.0/).T

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