title: Extracorporeal membrane oxygenation (ECMO) for severe acute respiratory distress syndrome (ARDS) in fulminant blastomycosis in Germany.
abstract: In fulminant blastomycosis with multiorgan failure, the earliest diagnosis possible is crucial for successful treatment. If severe acute respiratory distress syndrome (ARDS) develops, miniaturised veno-venous extracorporeal membrane oxygenation (ECMO) might provide a unique and efficacious possibility to prolong the time frame for diagnosis and the beginning of treatment. This is the first report on a case of fatal blastomycosis in Germany. It reminds us to add exotic infections to the differential diagnosis in patients with refractory pneumonia in the era of worldwide tourism.
authors.affiliation: Regensburg University Medical Center, Department of Internal Medicine II, Franz-Josef-Strauss-Allee 11, Regensburg, 93053, Germany.
authors.forename: Markus
authors.initials: M
authors.lastname: Resch
authors.forename: Katrin
authors.initials: K
authors.lastname: Kurz
authors.forename: Wulf
authors.initials: W
authors.lastname: Schneider-Brachert
authors.forename: Kathrin
authors.initials: K
authors.lastname: Tintelnot
authors.forename: Christoph
authors.initials: C
authors.lastname: Birner
authors.forename: Thomas
authors.initials: T
authors.lastname: Schichtl
authors.forename: Matthias
authors.initials: M
authors.lastname: Lubnow
authors.forename: Christina
authors.initials: C
authors.lastname: Hart
authors.forename: Clemens
authors.initials: C
authors.lastname: Jilek
authors.forename: Simone
authors.initials: S
authors.lastname: Bertz
authors.forename: Michael
authors.initials: M
authors.lastname: Hilker
authors.forename: Günter A J
authors.initials: GA
authors.lastname: Riegger
authors.forename: Andreas
authors.initials: A
authors.lastname: Luchner
authors.forename: Thomas
authors.initials: T
authors.lastname: Müller