Successful Management of Critical Acute Respiratory Distress Syndrome following COVID-19 through Extracorporeal Membrane Oxygenation in a Patient with Concurrent Nephrotic Syndrome Relapse

A 44-year-old man with coronavirus disease 2019 (COVID-19) and nephrotic syndrome relapse was admitted to our intensive-care unit for respiratory failure. Despite receiving mechanical ventilation and immunomodulators, the patient experienced refractory hypoxemia, necessitating venovenous extracorpor...

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Autores principales: Muto, Masahiro, Sasaki, Yu, Kano, Toshiki, Fukao, Yusuke, Hosoya, Reina, Nomura, Tomohisa, Sugita, Manabu, Io, Hiroaki, Suzuki, Yusuke
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10686741/
https://www.ncbi.nlm.nih.gov/pubmed/37558472
http://dx.doi.org/10.2169/internalmedicine.2293-23
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author Muto, Masahiro
Sasaki, Yu
Kano, Toshiki
Fukao, Yusuke
Hosoya, Reina
Nomura, Tomohisa
Sugita, Manabu
Io, Hiroaki
Suzuki, Yusuke
author_facet Muto, Masahiro
Sasaki, Yu
Kano, Toshiki
Fukao, Yusuke
Hosoya, Reina
Nomura, Tomohisa
Sugita, Manabu
Io, Hiroaki
Suzuki, Yusuke
author_sort Muto, Masahiro
collection PubMed
description A 44-year-old man with coronavirus disease 2019 (COVID-19) and nephrotic syndrome relapse was admitted to our intensive-care unit for respiratory failure. Despite receiving mechanical ventilation and immunomodulators, the patient experienced refractory hypoxemia, necessitating venovenous extracorporeal membrane oxygenation (VV-ECMO) therapy. Due to a worsening renal function, continuous hemodiafiltration was initiated. After 11 days, his respiratory status gradually improved, and VV-ECMO was withdrawn. The kidney function and proteinuria improved, and hemodialysis was subsequently discontinued. The patient was discharged 64 days after admission. This case highlights the potential benefit of early ECMO application in dramatically promoting recovery in severe COVID-19 cases.
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spelling pubmed-106867412023-11-30 Successful Management of Critical Acute Respiratory Distress Syndrome following COVID-19 through Extracorporeal Membrane Oxygenation in a Patient with Concurrent Nephrotic Syndrome Relapse Muto, Masahiro Sasaki, Yu Kano, Toshiki Fukao, Yusuke Hosoya, Reina Nomura, Tomohisa Sugita, Manabu Io, Hiroaki Suzuki, Yusuke Intern Med Case Report A 44-year-old man with coronavirus disease 2019 (COVID-19) and nephrotic syndrome relapse was admitted to our intensive-care unit for respiratory failure. Despite receiving mechanical ventilation and immunomodulators, the patient experienced refractory hypoxemia, necessitating venovenous extracorporeal membrane oxygenation (VV-ECMO) therapy. Due to a worsening renal function, continuous hemodiafiltration was initiated. After 11 days, his respiratory status gradually improved, and VV-ECMO was withdrawn. The kidney function and proteinuria improved, and hemodialysis was subsequently discontinued. The patient was discharged 64 days after admission. This case highlights the potential benefit of early ECMO application in dramatically promoting recovery in severe COVID-19 cases. The Japanese Society of Internal Medicine 2023-08-09 2023-11-01 /pmc/articles/PMC10686741/ /pubmed/37558472 http://dx.doi.org/10.2169/internalmedicine.2293-23 Text en Copyright © 2023 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Muto, Masahiro
Sasaki, Yu
Kano, Toshiki
Fukao, Yusuke
Hosoya, Reina
Nomura, Tomohisa
Sugita, Manabu
Io, Hiroaki
Suzuki, Yusuke
Successful Management of Critical Acute Respiratory Distress Syndrome following COVID-19 through Extracorporeal Membrane Oxygenation in a Patient with Concurrent Nephrotic Syndrome Relapse
title Successful Management of Critical Acute Respiratory Distress Syndrome following COVID-19 through Extracorporeal Membrane Oxygenation in a Patient with Concurrent Nephrotic Syndrome Relapse
title_full Successful Management of Critical Acute Respiratory Distress Syndrome following COVID-19 through Extracorporeal Membrane Oxygenation in a Patient with Concurrent Nephrotic Syndrome Relapse
title_fullStr Successful Management of Critical Acute Respiratory Distress Syndrome following COVID-19 through Extracorporeal Membrane Oxygenation in a Patient with Concurrent Nephrotic Syndrome Relapse
title_full_unstemmed Successful Management of Critical Acute Respiratory Distress Syndrome following COVID-19 through Extracorporeal Membrane Oxygenation in a Patient with Concurrent Nephrotic Syndrome Relapse
title_short Successful Management of Critical Acute Respiratory Distress Syndrome following COVID-19 through Extracorporeal Membrane Oxygenation in a Patient with Concurrent Nephrotic Syndrome Relapse
title_sort successful management of critical acute respiratory distress syndrome following covid-19 through extracorporeal membrane oxygenation in a patient with concurrent nephrotic syndrome relapse
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10686741/
https://www.ncbi.nlm.nih.gov/pubmed/37558472
http://dx.doi.org/10.2169/internalmedicine.2293-23
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