[Lemierre's syndrome from necrotizing pneumonia treated with extracorporeal CO2 removal].
We report a case of Lemierre's syndrome complicated with pulmonary septic abscesses, leading to necrotizing pneumonia. In spite of administration of appropriate antibiotics and a protective ventilation strategy, the patient had several bilateral pneumothoraces. In this setting, the mechanical ventilation was unsuccessful leading to two hypoxia-related cardiac arrests. An extracorporeal CO(2) removal was then carried out for 34-days duration. The patient was weaned from mechanical ventilation on day 68. He was then transferred to the chest surgery unit on day 83.
Blasco
V
V
Département d'anesthésie et de réanimation, CHU de Nord, chemin des Bourrely, 13915 Marseille cedex 20, France. valeryblasco@lavache.com
Leone
M
M
Xeridat
F
F
Albanèse
J
J
Martin
C
C
D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002245:Carbon Dioxide / Q000302:isolation & purification; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D005674:Fusobacterium Infections / Q000150:complications* / Q000188:drug therapy; D005675:Fusobacterium necrophorum; D006801:Humans; D008297:Male; D009336:Necrosis; D010612:Pharyngitis / Q000209:etiology* / Q000382:microbiology; D018410:Pneumonia, Bacterial / Q000150:complications* / Q000473:pathology; D011175:Positive-Pressure Respiration; D012772:Shock, Septic / Q000209:etiology* / Q000628:therapy; D013577:Syndrome; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D002245:Carbon Dioxide