title: A PREGNANT WOMAN WITH AVIAN INFLUENZA A (H7N9) VIRUS PNEUMONIA AND ARDS MANAGED WITH EXTRACORPOREAL MEMBRANE OXYGENATION.
abstract: We report a case of H7N9 avian influenza pneumonia in a pregnant woman who developed acute respiratory distress syndrome (ARDS) managed with extracorporeal membrane oxygenation (ECMO). A 29-year-old, 27 week pregnant woman developed rapidly progressive pneumonia with bilateral infiltrates on chest x-ray and was confirmed to have influenza A (H7N9) infection. Her condition deteriorated and she developed ARDS which was managed with veno-venous extracorporeal membrane oxygenation (V-V ECMO) and treated with antimicrobials. Her clinical symptoms and oxygenation gradually improved and the ECMO was discontinued on the 19t day. Unfortunately, she suddenly died a few days later, due to a presumed pulmonary embolism. Based on our experience, ECMO may be useful to manage pneumonia due to H7N9 avian influenza and ARDS in pregnant women.
authors.forename: Guyi
authors.initials: G
authors.lastname: Wang
authors.forename: Yanyan
authors.initials: Y
authors.lastname: Zhou
authors.forename: Subo
authors.initials: S
authors.lastname: Gong
authors.forename: Haiyun
authors.initials: H
authors.lastname: Dong
authors.forename: Guobao
authors.initials: G
authors.lastname: Wu
authors.forename: Xudong
authors.initials: X
authors.lastname: Xiang
authors.forename: Jianjun
authors.initials: J
authors.lastname: Tang
mesh_terms: D000328:Adult; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D064766:Influenza A Virus, H7N9 Subtype / Q000302:isolation & purification; D007251:Influenza, Human / Q000628:therapy* / Q000821:virology; D011024:Pneumonia, Viral / Q000628:therapy* / Q000821:virology; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000628:therapy* / Q000821:virology; D012128:Respiratory Distress Syndrome / Q000628:therapy* / Q000821:virology