Blasco V, Leone M, Xeridat F, Albanèse J, Martin C. [Lemierre's syndrome from necrotizing pneumonia treated with extracorporeal CO2 removal].
ACTA ACUST UNITED AC 2008;
27:244-8. [PMID:
18314296 DOI:
10.1016/j.annfar.2008.01.011]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2007] [Accepted: 01/07/2008] [Indexed: 11/20/2022]
Abstract
We report a case of Lemierre's syndrome complicated with pulmonary septic abscesses, leading to necrotizing pneumonia. In spite of administration of appropriate antibiotics and a protective ventilation strategy, the patient had several bilateral pneumothoraces. In this setting, the mechanical ventilation was unsuccessful leading to two hypoxia-related cardiac arrests. An extracorporeal CO(2) removal was then carried out for 34-days duration. The patient was weaned from mechanical ventilation on day 68. He was then transferred to the chest surgery unit on day 83.
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