Frick SE, Flothmann C, Preiswerk B, Behr R, Genoni M. Extracorporeal Membrane Oxygenation in Miliary Tuberculosis and AIDS: A Case Report.
Thorac Cardiovasc Surg Rep 2014;
4:18-20. [PMID:
26693121 PMCID:
PMC4670299 DOI:
10.1055/s-0034-1394105]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2014] [Accepted: 08/05/2014] [Indexed: 11/20/2022] Open
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.
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