title: Extracorporeal Membrane Oxygenation in Miliary Tuberculosis and AIDS: A Case Report.
abstract: Background The aim of this study is to present the success of a multidisciplinary approach in a patient with a rare triad of disease. Case Description A 33-year-old patient with newly diagnosed human immunodeficiency virus infection presented with miliary tuberculosis, consecutive adult respiratory distress syndrome, and multiple-organ failure. An interdisciplinary, time-limited approach combining extracorporeal membrane oxygenation, intensive care therapy, hemodiafiltration, tuberculostatic therapy, steroids, and antiretroviral therapy led to survival despite a low probability at presentation. Conclusion Even though the use of such extensive and expensive treatment can be questioned, this example encourages an aggressive approach in a young patient, even in situations of multiple diagnosis of individually limited prognosis.
authors.affiliation: Internal Medicine, Stadtspital Triemli, Zürich, Switzerland.
authors.forename: Sonia Erika
authors.initials: SE
authors.lastname: Frick
authors.affiliation: Internal Medicine, Stadtspital Triemli, Zürich, Switzerland.
authors.forename: Christoph
authors.initials: C
authors.lastname: Flothmann
authors.affiliation: Internal Medicine, Infectious Diseases, Stadtspital Triemli, Zürich, Switzerland.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Preiswerk
authors.affiliation: Department of Cardiovascular Surgery, Stadtspital Triemli, Zürich, Switzerland.
authors.forename: Renate
authors.initials: R
authors.lastname: Behr
authors.affiliation: Department of Cardiovascular Surgery, Stadtspital Triemli, Zürich, Switzerland.
authors.forename: Michele
authors.initials: M
authors.lastname: Genoni
keywords: adult respiratory distress syndrome; extracorporeal membrane oxygenation; human immunodeficiency virus; miliary tuberculosis