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. 2015 Dec;4(1):18-20.
doi: 10.1055/s-0034-1394105. Epub 2014 Nov 25.

Extracorporeal Membrane Oxygenation in Miliary Tuberculosis and AIDS: A Case Report

Sonia Erika Frick  1 , Christoph Flothmann  1 , Benjamin Preiswerk  2 , Renate Behr  3 , Michele Genoni  3
Affiliations

Extracorporeal Membrane Oxygenation in Miliary Tuberculosis and AIDS: A Case Report

Sonia Erika Frick et al. Thorac Cardiovasc Surg Rep. 2015 Dec.

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.

Keywords: adult respiratory distress syndrome; extracorporeal membrane oxygenation; human immunodeficiency virus; miliary tuberculosis.

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Figures

Fig. 1
Fig. 1
Chest X-ray at 5:00 am on the day of admission.
Fig. 2
Fig. 2
Chest X-ray at 2:00 pm on the day of admission (intubated; with the extracorporeal membrane oxygenation cannulas in place).
Fig. 3
Fig. 3
Chest X-ray 17 days after admission.
See this image and copyright information in PMC

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