A Case of Successful Treatment with Polymyxin B-immobilized Fiber Column Direct Hemoperfusion in Acute Respiratory Distress Syndrome after Influenza A Infection
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概要
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We report a case of acute respiratory distress syndrome (ARDS) after influenza A infection who was successfully treated with combined treatment including direct hemoperfusion with polymyxin B-immobilized fiber (PMX-DHP) column. A 56-year-old Japanese man was admitted to our hospital in January 2010 because of progressive dyspnea, hypoxemia, fever and bilateral diffuse infiltration on chest radiograph after pandemic influenza A infection. His chest computed tomography showed diffuse and patchy bilateral ground-glass opacities, and we diagnosed ARDS after influenza A infection. The patient was successfully treated with PMX-DHP in addition to the treatment with oseltamivir, corticosteroid, sivelestat and antibiotics with mechanical ventilation, and the patient recovered with only minor pulmonary fibrotic change. Although the efficacy of PMX-DHP treatment in patients with acute lung injury (ALI)/ARDS after influenza virus infection is not well established, this treatment could be a possible therapeutic modality in treating the patients with this disease.
著者
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Mukae Hiroshi
Department of Anesthesia, Emergency and Critical Care Medical Center, Kitakyushu Municipal Yahata Ho
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Yoshii Chiharu
Department Of Respiratory Disease University Of Occupational And Environmental Health
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Yatera Kazuhiro
Department Of Respiratory Disease University Of Occupational And Environ Mental Health
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Kawanami Toshinori
Department Of Respiratory Medicine School Of Medicine University Of Occupational And Environmental H
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Nagata Shuya
Department Of Respiratory Medicine School Of Medicine University Of Occupational And Environmental H
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Nishida Chinatsu
Department Of Respiratory Medicine School Of Medicine University Of Occupational And Environmental H
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Yamasaki Kei
Department Of Respiratory Medicine School Of Medicine University Of Occupational And Environmental H
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Yatera Kazuhiro
Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan
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Kouzaki Minako
Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan
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Tokuyama Susumu
Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan
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Ogoshi Takayuki
Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan
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Kawanami Toshinori
Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan
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Nagata Shuya
Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan
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Yoshii Chiharu
Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan
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Nishida Chinatsu
Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan
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