title: Varicella associated acute respiratory distress syndrome in an adult patient: an example for extracorporeal respiratory support in Brazilian endemic diseases.
abstract: A case of a 30 year-old man presenting with severe systemic chickenpox with refractory hypoxemia, central nervous system vasculitis and anuric renal failure is described. Ambulance transportation and support using veno-venous extracorporeal membrane oxygenation were necessary until the patient recovered. Ultimately, the potential use of extracorporeal membrane oxygenation support in low-middle income countries to manage common diseases is discussed.
authors.affiliation: Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil.
authors.forename: Marcela da Silva
authors.initials: Mda S
authors.lastname: Mendes
authors.affiliation: Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil.
authors.forename: Ho
authors.initials: H
authors.lastname: Yeh-Li
authors.affiliation: Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil.
authors.forename: Thiago Gomes
authors.initials: TG
authors.lastname: Romano
authors.affiliation: Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil.
authors.forename: Edzangela Vasconcelos
authors.initials: EV
authors.lastname: Santos
authors.affiliation: Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil.
authors.forename: Adriana Sayuri
authors.initials: AS
authors.lastname: Hirota
authors.affiliation: Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil.
authors.forename: Bruna Mitiyo
authors.initials: BM
authors.lastname: Kono
authors.affiliation: Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil.
authors.forename: Marilia Francesconi
authors.initials: MF
authors.lastname: Felicio
authors.affiliation: Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil.
authors.forename: Marcelo
authors.initials: M
authors.lastname: Park
mesh_terms: D000328:Adult; D001002:Anuria / Q000821:virology; D001938:Brazil; D002644:Chickenpox / Q000150:complications*; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D006801:Humans; D000860:Hypoxia / Q000821:virology; D008297:Male; D051437:Renal Insufficiency / Q000821:virology; D012128:Respiratory Distress Syndrome / Q000628:therapy / Q000821:virology*; D012720:Severity of Illness Index; D016896:Treatment Outcome; D020293:Vasculitis, Central Nervous System / Q000821:virology