Acute and Critical Care

Case Reports

Infection/Cardiology
Extracorporeal Membrane Oxygenation for Acute Respiratory Distress Syndrome following HAART Initiation in an HIV-infected Patient Being Treated for Severe Pneumocystis jirovecii Pneumonia: Case Report and Literature Review: Dong Won Park, Dae Hyun Lim, Bongyoung Kim, Ji Young Yhi, Ji-Yong Moon, Sang-Heon Kim, Tae-Hyung Kim, Jang Won Shon, Ho Joo Yoon, Dong Ho Shin, Hyunjoo Pai; Korean J Crit Care Med. 2016;31(2):162-168. Published online May 31, 2016; DOI: https://doi.org/10.4266/kjccm.2016.31.2.162

6,727 View
98 Download
1 Crossref

Pnuemocystis jirovecii pneumonia (PJP) is one of leading causes of acute respiratory failure in patients infected with human immunodeficiency virus (HIV), and the mortality rate remains high in mechanically ventilated HIV patients with PJP. There are several reported cases who received extracorporeal membrane oxygenation (ECMO) treatment for respiratory failure associated with severe PJP in HIV-infected patients. We report a patient who was newly diagnosed with HIV and PJP whose condition worsened after highly active antiretroviral therapy (HAART) initiation and progressed to acute respiratory distress syndrome requiring veno-venous ECMO. The patient recovered from PJP and is undergoing treatment with HAART. ECMO support can be an effective life-saving salvage therapy for acute respiratory failure refractory to mechanical ventilation following HAART in HIV-infected patients with severe PJP.

Citations

Citations to this article as recorded by

Extracorporeal life support for immune reconstitution inflammatory syndrome in HIV patients with Pneumocystis jirovecii pneumonia
Kollengode Ramanathan, Julian K. Svasti, Graeme MacLaren
Journal of Artificial Organs.2018; 21(3): 371. CrossRef

Pulmonary
Successful Immunoglobulin Treatment in Severe Cryptogenic Organizing Pneumonia Caused by Dermatomyositis: Dong Hoon Lee, Jee Hyun Yeo, Young Il Kim, Seung Jun Gim, Jang Won Sohn, Ji Young Yhi; Korean J Crit Care Med. 2015;30(3):212-217. Published online August 31, 2015; DOI: https://doi.org/10.4266/kjccm.2015.30.3.212

7,364 View
91 Download
1 Crossref

Abstract PDF

In connective tissue diseases, autoantibodies cause pulmonary interstitial inflammation and fibrosis, and patients require treatment with an immunosuppressive agent such as a steroid. Dermatomyositis is an incurable, uncommon form of connective tissue disease that occasionally causes diffuse pulmonary inflammation leading to acute severe respiratory failure. In such cases, the prognosis is very poor despite treatment with high-dose steroid. In the present case, a 46-year-old man was admitted to our hospital with dyspnea. He was diagnosed with dermatomyositis combined with cryptogenic organizing pneumonia (COP) with respiratory failure and underwent treatment with steroid and an immunosuppressive agent, but the COP was not improved. However, the respiratory failure did improve after treatment with intravenous immunoglobulin, which therefore can be considered a treatment option in cases where steroids and immunosuppressive agents are ineffective.

Citations

Citations to this article as recorded by

A Case Report of Steroid-Resistant Cryptogenic Organizing Pneumonia Managed with Intravenous Immunoglobulins
Christian Akem Dimala, Urvi Patel, Benjamin Lloyd, Anthony Donato, William B. Kimmel, Robert Hallowell, Caitlyn Moss, Tun-Chieh Chen
Case Reports in Pulmonology.2021; 2021: 1. CrossRef

Splenic Hemorrhage with Hemoperitoneum Caused by a Snakebite: Ji Young Yhi, Yoomi Yeo, Ji Yeoun Kim, Il Hwan Oh, Soon Woo Hwang, Sang Ki Lee, Dong Shin Kwak, Ji Yoon Choi, Jeong Eun Kim, Joon Sung Park; Korean J Crit Care Med. 2013;28(4):336-339.; DOI: https://doi.org/10.4266/kjccm.2013.28.4.336

2,865 View
130 Download
4 Crossref

Abstract PDF

In Asia, snakebites are estimated to affect 4 million people every year, and of these, 100,000 people are estimated to die. In Korea, snakebites occur frequently from the spring to the fall, but their importance is often overlooked. Fatal complications, including acute respiratory distress and acute kidney injury, can occur, and in some cases, severe hemorrhage results from coagulopathy. There have been only a few cases of snakebite-induced liver or intestinal bleeding, but to our knowledge, spontaneous bleeding from the spleen has not been previously reported. Here, we report the case of a 61-year-old male who visited the emergency room with abrupt abdominal pain due to hemoperitoneum associated with splenic hemorrhage after a snakebite.

Citations

Citations to this article as recorded by

Hemoperitoneum after a Bothrops snakebite: Case report
Adriana Baqueiro Abad Ribeiro, Marcelo Larami Santoro, Marcelo Ribeiro Duarte, Cristiana Cruz Virgulino, Gerson Sobrinho Salvador de Oliveira, Francisco Oscar de Siqueira França
Toxicon.2024; 237: 107350. CrossRef
Disseminated intravascular coagulation like syndrome and cerebral hemorrhage caused by snake venom: a case report
Sung Min Lee, Kyung Hoon Sun
Medical Biological Science and Engineering.2024; 7(1): 64. CrossRef
Delayed Splenic Rupture: A Rare Complication of Snakebites
Tae-Youn Kim, Young-Il Roh, Kyoung-Chul Cha, Sung Oh Hwang, Woo Jin Jung
Wilderness & Environmental Medicine.2021; 32(1): 78. CrossRef
Splenic rupture and subsequent splenectomy in a young healthy victim following Russell's viper bite
Subramanian Senthilkumaran, Pradeep Vijayakumar, Ravi Savania, Rajendran Vaiyapuri, Namasivayam Elangovan, Ketan Patel, Steven A. Trim, Ponniah Thirumalaikolundusubramanian, Sakthivel Vaiyapuri
Toxicon.2021; 204: 9. CrossRef

First
Prev
Page of 1
Next
Last

Search