Life-threatening antineutrophil cytoplasmic antibody–associated vasculitis after influenza A H1N1 infection requiring veno-venous extracorporeal membrane oxygenation-Reference-Cited by-同舟云学术

Life-threatening antineutrophil cytoplasmic antibody–associated vasculitis after influenza A H1N1 infection requiring veno-venous extracorporeal membrane oxygenation

Published:2020-06-12 Issue:6 Volume:35 Page:546-549
ISSN:0267-6591
Container-title:Perfusion
language:en
Short-container-title:Perfusion

Author:

Frantzeskaki Frantzeska G.¹^ORCID,Dimopoulos Stavros²^ORCID,Konstantonis Dimitrios¹,Katsibri Pelagia³,Kostopanagiotou Kostantinos⁴,Theodorakopoulou Maria¹,Diakaki Chrysi¹,Dougenis Dimitrios⁴,Boumpas Dimitrios³,Karabinis Andreas²,Armaganidis Apostolos¹^ORCID,Tsangaris Iraklis¹^ORCID

Affiliation:

1. 2nd Critical Care Department, Attikon University Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece

2. Cardiac Surgery ICU, Onassis Cardiac Surgery Center, Athens, Greece

3. 4th Department of Internal Medicine, Attikon University Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece

4. Department of Cardiac Surgery, Attikon University Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece

Abstract

Introduction: Antineutrophil cytoplasmic autoantibody–associated vasculitis is an immune-mediated necrotizing vasculitis, affecting small- and medium-sized vessels. Case report: A 22-year-old female patient with free medical history presented with life-threatening pulmonary hemorrhage due to antineutrophil cytoplasmic autoantibody–associated vasculitis, temporarily associated with influenza A H1N1 infection. Due to rapidly worsening respiratory failure, despite conventional management, veno-venous peripheral extracorporeal membrane oxygenation was initiated and continued for 26 days, with subsequent renal replacement therapy. Discussion: We present a case of severe antineutrophil cytoplasmic autoantibody–associated pulmonary vasculitis, managed with veno-venous extracorporeal membrane oxygenation at the initial phase. Despite the significant challenges raised with the use of extracorporeal membrane oxygenation in pulmonary hemorrhage cases, extracorporeal membrane oxygenation may have a significant impact on outcome in this setting, by providing adequate time for a successful immunosuppressive treatment.

Publisher

SAGE Publications

Subject

Advanced and Specialized Nursing,Cardiology and Cardiovascular Medicine,Safety Research,Radiology, Nuclear Medicine and imaging,General Medicine

Link

http://journals.sagepub.com/doi/pdf/10.1177/0267659120927210

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