title: A curious case of acute respiratory distress syndrome.
abstract: Gestational acute respiratory distress syndrome (ARDS) is a complicated problem with the potential to gravely harm both mother and fetus. This case report describes a young woman in her second trimester of pregnancy who developed progressive respiratory failure in the setting of newly diagnosed influenza, diffuse alveolar hemorrhage and lymphangioleiomyomatosis. The patient's condition was refractory to conventional interventions and required extracorporeal membrane oxygenation (ECMO) support. Her course was further complicated by preeclampsia requiring preterm delivery with cesarean section while on ECMO. Through novel therapies and a multidisciplinary approach to care, both the patient and her child would overcome these unique and challenging conditions and survive.
authors.affiliation: Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA tcrawfo9@jhmi.edu.
authors.forename: Todd C
authors.initials: TC
authors.lastname: Crawford
authors.affiliation: Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Joshua C
authors.initials: JC
authors.lastname: Grimm
authors.affiliation: Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: J Trent
authors.initials: JT
authors.lastname: Magruder
authors.affiliation: Department of Pulmonary and Critical Care Medicine, The Johns Hopkins Hospital, Baltimore, MD, USA.
authors.forename: R Scott
authors.initials: RS
authors.lastname: Stephens
authors.affiliation: Department of Surgery, Division of Cardiac Surgery, The Johns Hopkins Hospital, Baltimore, MD, USA.
authors.forename: Christopher M
authors.initials: CM
authors.lastname: Sciortino
authors.affiliation: Department of Gynecology and Obstetrics, The Johns Hopkins Hospital, Baltimore, MD, USA.
authors.forename: A Jason
authors.initials: AJ
authors.lastname: Vaught
authors.affiliation: Department of Gynecology and Obstetrics, The Johns Hopkins Hospital, Baltimore, MD, USA.
authors.forename: Janyne
authors.initials: J
authors.lastname: Althaus
authors.affiliation: Department of Cardiac Surgery, Vanderbilt University, Nashville, TN, USA.
authors.forename: Ashish S
authors.initials: AS
authors.lastname: Shah
authors.affiliation: Department of Pulmonary and Critical Care Medicine, The Johns Hopkins Hospital, Baltimore, MD, USA.
authors.forename: Bo S
authors.initials: BS
authors.lastname: Kim