The answer is blowing in the wind: an uncommon cause for severe ARDS accompanied by circulatory insufficiency requiring extracorporeal membrane oxygenation.
We report a rare complication in an immunosuppressed patient with IgA nephropathy who suffered from severe acute respiratory distress syndrome, severe capillary leakage and shock after placement of a double lumen central venous catheter. He could be successfully treated by extracorporeal membrane oxygenation (ECMO) and therapeutic plasma exchange. This report highlights the severity of late-onset complications of catheter placements and shows the potential of ECMO treatment for the management of acute illnesses with bridge to recovery.
Department of Nephrology, Medizinische Hochschule Hannover, Hannover, Germany.
Gunilla
G
Einecke
Department of Hematology, Hemostaseology, Oncology and Stem Cell Transplantation, Medizinische Hochschule Hannover, Hannover, Germany.
Gernot
G
Beutel
Department of Respiratory Medicine, Medizinische Hochschule Hannover, Hannover, Germany.
Marius M
MM
Hoeper
Department of Nephrology, Stadtisches Klinikum Braunschweig GmbH, Braunschweig, Germany.
Jan T
http://orcid.org/0000-0001-8110-9064
JT
Kielstein
D002405:Catheterization, Central Venous / Q000009:adverse effects*; D003520:Cyclophosphamide / Q000633:toxicity*; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D006801:Humans; D016867:Immunocompromised Host; D007362:Intensive Care Units; D008297:Male; D010951:Plasma Exchange; D011654:Pulmonary Edema / Q000175:diagnosis / Q000000981:diagnostic imaging; D012128:Respiratory Distress Syndrome / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D012720:Severity of Illness Index; D055815:Young Adult
D003520:Cyclophosphamide