Pandemic (H1N1) 2009-Associated ARDS Rescued by Neuraminidase Inhibitors with Emergency Use of Extracorporeal Membrane Oxygenation
スポンサーリンク
概要
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A 36-year-old man with underlying systemic lupus erythematosus complicated by autoimmune hemolytic anemia underwent immunosuppressive treatment. After showing a low-grade fever for two days, his fever spiked. He was confirmed to have pandemic (H1N1) 2009 by real-time reverse transcription polymerase chain reaction (PCR). His condition deteriorated to acute respiratory distress syndrome (ARDS), and mechanical ventilation became necessary. The lowest PaO2/FIO2 ratio was 77, and he was placed on extracorporeal membrane oxygenation (ECMO). Based on our observation, the emergency use of ECMO in addition to peramivir might be useful. A noteworthy point is that once ARDS deteriorates due to pandemic (H1N1) 2009, intensive supportive care should be started.
著者
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FUJISAKI Tomoaki
Department of Internal Medicine, Matsuyama Red Cross Hospital
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Nakanishi Hideyuki
Department of Internal Medicine, Matsuyama Red-Cross Hospital
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Muta Tsuyoshi
Department of Internal Medicine, Matsuyama Red-Cross Hospital
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Yoshitomi Ryota
Department of Nephrology, Matsuyama Red-Cross Hospital
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Kubo Toshihiko
Department of Cardiology, Matsuyama Red-Cross Hospital
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Yokota Eisuke
Department of Internal Medicine, Matsuyama Red-Cross Hospital
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Muta Tsuyoshi
Department Of Clinical Chemistry And Laboratory Medicine Kyushu University
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Fujisaki Tomoaki
Department Of Internal Medicine Matsuyama Red Cross Hospital
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Yokota Eisuke
Department of Hematology, Matsuyama Red Cross Hospital
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Nakanishi Hideyuki
Department of Chemistry, Faculty of Engineering, Gunma University
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Fujisaki Tomoaki
Department of Hematology, Matsuyama Red Cross Hospital
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Fujisaki Tomoaki
Department of Internal Medicine, Matsuyama Red-Cross Hospital
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