Kuhl, T., Langebartels, G., Madershahian, N. and Wahlers, T. (2010). Extracorporeal life support given to a 16-year-old girl with cystic fibrosis, candida pneumonia and acute respiratory distress syndrome. Dtsch. Med. Wochenschr., 135 (42). S. 2071 - 2076. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-4413

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Abstract

History: Small bowel resection had to be performed because of an acute ileus in a 16-year old girl with mucoviscidosis. Severe respiratory insufficiency developed and she was transferred to the intensive care unit. Investigations: The clinical signs of a severe ARDS were demonstrated: Horowitz index < 200, pO(2) 57 mm Hg, FiO(2) 1,0, pCO(2) 82 mm Hg. Candida serology was positive (titer 1: 5120), and there was a leukocytosis (20000/mu l), hypalbuminemia (14 g/l) and elevation of C-reactive protein (190 mg/l). Treatment and course: Because all non invasive treatment options had failed to improve the patient's condition, an extracorporal membrane oxygenation (ECMO) device was connected. Seven days later, after the pulmonary situation had improved, the device was successfully removed; the patient was dicharged in a satisfactory condition after another month. Conclusion: ECMO is a another treatment option for serious ARDS in infection-related worsening of pulmonary cystic fibrosis.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Kuhl, T.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Langebartels, G.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Madershahian, N.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wahlers, T.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-495291
DOI: 10.1055/s-0030-1267483
Journal or Publication Title: Dtsch. Med. Wochenschr.
Volume: 135
Number: 42
Page Range: S. 2071 - 2076
Date: 2010
Publisher: GEORG THIEME VERLAG KG
Place of Publication: STUTTGART
ISSN: 1439-4413
Language: German
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
LUNG; EXTRAPULMONARY; PULMONARYMultiple languages
Medicine, General & InternalMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/49529

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