title: Extracorporeal membrane oxygenation support in a situation of diagnostic dilemma.
abstract: Severe acute respiratory distress syndrome (ARDS) in children carries a high morbidity and mortality. High frequency ventilation and extracorporeal membrane oxygenation (ECMO) are used as rescue modes of support in difficult situations. Malignancy may be considered to be a relative contraindication to ECMO support. We report a case where the decision was made to support the patient with ECMO for fulminant Epstein-Barr (EBV) infection while investigations were being done to exclude an underlying malignancy.
authors.affiliation: Department of Cardiothoracic Surgery, Sydney Children's Hospital, High Street, Randwick, NSW, Australia. manzoor_elahi@hotmail.com
authors.forename: Maqsood M
authors.initials: MM
authors.lastname: Elahi
authors.forename: Chew
authors.initials: C
authors.lastname: Houng
authors.forename: Toby
authors.initials: T
authors.lastname: Trahair
authors.forename: Hari
authors.initials: H
authors.lastname: Ravindranathan
authors.forename: Peter W
authors.initials: PW
authors.lastname: Grant
mesh_terms: D058846:Antibodies, Monoclonal, Murine-Derived / Q000627:therapeutic use; D000998:Antiviral Agents / Q000627:therapeutic use; D002675:Child, Preschool; D020031:Epstein-Barr Virus Infections / Q000150:complications / Q000188:drug therapy*; D015199:Extracorporeal Membrane Oxygenation; D004854:Herpesvirus 4, Human; D006612:High-Frequency Ventilation; D006801:Humans; D008297:Male; D000069283:Rituximab; D045169:Severe Acute Respiratory Syndrome / Q000628:therapy* / Q000821:virology*
chemical_list: D058846:Antibodies, Monoclonal, Murine-Derived; D000998:Antiviral Agents; D000069283:Rituximab