Life-threatening human metapneumovirus pneumonia requiring extracorporeal membrane oxygenation in a preterm infant.
We present the first report in the literature of a child with human metapneumovirus pneumonia who required extracorporeal membrane oxygenation for survival. This was a 3-month-old premature boy from British Columbia, Canada, who developed severe respiratory failure, experienced failure of high-frequency oscillatory mechanical ventilation, and required extracorporeal membrane oxygenation support for 10 days. This case illustrates the importance of including this newly discovered pathogen among the causes of childhood pneumonia.
Pediatric Infectious Diseases Division, University of British Columbia and British Columbia's Children's Hospital, 4480 Oak St, Room K4-166, Vancouver, BC, Canada V6H 3V4. rgut@cw.bc.ca
Rolando
R
Ulloa-Gutierrez
Peter
P
Skippen
Anne
A
Synnes
Michael
M
Seear
Nathalie
N
Bastien
Yan
Y
Li
John C
JC
Forbes
D015199:Extracorporeal Membrane Oxygenation; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007234:Infant, Premature; D008168:Lung / Q000000981:diagnostic imaging; D008297:Male; D029121:Metapneumovirus / Q000235:genetics / Q000302:isolation & purification; D018184:Paramyxoviridae Infections / Q000150:complications / Q000628:therapy* / Q000821:virology; D010802:Phylogeny; D011024:Pneumonia, Viral / Q000150:complications / Q000000981:diagnostic imaging / Q000821:virology*; D011859:Radiography; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy