Successful Recovery from COVID-19-associated Acute Respiratory Failure with Polymyxin B-immobilized Fiber Column-direct Hemoperfusion

An 83-year-old man was hospitalized for coronavirus disease 2019 (COVID-19) after a 10-day history of a persistent fever. Chest computed tomography showed extensive non-segmental ground glass opacity. Despite the initiation of lopinavir and ritonavir, respiratory failure progressed. Two days of poly...

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Autores principales: Kusaba, Yusaku, Izumi, Shinyu, Takasaki, Jin, Suzuki, Manabu, Katagiri, Daisuke, Katsuno, Takashi, Matsumoto, Shuichiro, Sakamoto, Keita, Hashimoto, Masao, Ohmagari, Norio, Katano, Harutaka, Suzuki, Tadaki, Hojo, Masayuki, Sugiyama, Haruhito
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7644505/
https://www.ncbi.nlm.nih.gov/pubmed/32863364
http://dx.doi.org/10.2169/internalmedicine.5413-20
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author Kusaba, Yusaku
Izumi, Shinyu
Takasaki, Jin
Suzuki, Manabu
Katagiri, Daisuke
Katsuno, Takashi
Matsumoto, Shuichiro
Sakamoto, Keita
Hashimoto, Masao
Ohmagari, Norio
Katano, Harutaka
Suzuki, Tadaki
Hojo, Masayuki
Sugiyama, Haruhito
author_facet Kusaba, Yusaku
Izumi, Shinyu
Takasaki, Jin
Suzuki, Manabu
Katagiri, Daisuke
Katsuno, Takashi
Matsumoto, Shuichiro
Sakamoto, Keita
Hashimoto, Masao
Ohmagari, Norio
Katano, Harutaka
Suzuki, Tadaki
Hojo, Masayuki
Sugiyama, Haruhito
author_sort Kusaba, Yusaku
collection PubMed
description An 83-year-old man was hospitalized for coronavirus disease 2019 (COVID-19) after a 10-day history of a persistent fever. Chest computed tomography showed extensive non-segmental ground glass opacity. Despite the initiation of lopinavir and ritonavir, respiratory failure progressed. Two days of polymyxin B-immobilized fiber column-direct hemoperfusion (PMX-DHP) with adjunctive corticosteroid prevented his respiratory condition from worsening. For rapidly progressive COVID-19 cases, the early use of PMX-DHP may avoid the need for mechanical ventilation by suppressing local inflammation of the lung.
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spelling pubmed-76445052020-11-13 Successful Recovery from COVID-19-associated Acute Respiratory Failure with Polymyxin B-immobilized Fiber Column-direct Hemoperfusion Kusaba, Yusaku Izumi, Shinyu Takasaki, Jin Suzuki, Manabu Katagiri, Daisuke Katsuno, Takashi Matsumoto, Shuichiro Sakamoto, Keita Hashimoto, Masao Ohmagari, Norio Katano, Harutaka Suzuki, Tadaki Hojo, Masayuki Sugiyama, Haruhito Intern Med Case Report An 83-year-old man was hospitalized for coronavirus disease 2019 (COVID-19) after a 10-day history of a persistent fever. Chest computed tomography showed extensive non-segmental ground glass opacity. Despite the initiation of lopinavir and ritonavir, respiratory failure progressed. Two days of polymyxin B-immobilized fiber column-direct hemoperfusion (PMX-DHP) with adjunctive corticosteroid prevented his respiratory condition from worsening. For rapidly progressive COVID-19 cases, the early use of PMX-DHP may avoid the need for mechanical ventilation by suppressing local inflammation of the lung. The Japanese Society of Internal Medicine 2020-08-29 2020-10-01 /pmc/articles/PMC7644505/ /pubmed/32863364 http://dx.doi.org/10.2169/internalmedicine.5413-20 Text en Copyright © 2020 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
Kusaba, Yusaku
Izumi, Shinyu
Takasaki, Jin
Suzuki, Manabu
Katagiri, Daisuke
Katsuno, Takashi
Matsumoto, Shuichiro
Sakamoto, Keita
Hashimoto, Masao
Ohmagari, Norio
Katano, Harutaka
Suzuki, Tadaki
Hojo, Masayuki
Sugiyama, Haruhito
Successful Recovery from COVID-19-associated Acute Respiratory Failure with Polymyxin B-immobilized Fiber Column-direct Hemoperfusion
title Successful Recovery from COVID-19-associated Acute Respiratory Failure with Polymyxin B-immobilized Fiber Column-direct Hemoperfusion
title_full Successful Recovery from COVID-19-associated Acute Respiratory Failure with Polymyxin B-immobilized Fiber Column-direct Hemoperfusion
title_fullStr Successful Recovery from COVID-19-associated Acute Respiratory Failure with Polymyxin B-immobilized Fiber Column-direct Hemoperfusion
title_full_unstemmed Successful Recovery from COVID-19-associated Acute Respiratory Failure with Polymyxin B-immobilized Fiber Column-direct Hemoperfusion
title_short Successful Recovery from COVID-19-associated Acute Respiratory Failure with Polymyxin B-immobilized Fiber Column-direct Hemoperfusion
title_sort successful recovery from covid-19-associated acute respiratory failure with polymyxin b-immobilized fiber column-direct hemoperfusion
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7644505/
https://www.ncbi.nlm.nih.gov/pubmed/32863364
http://dx.doi.org/10.2169/internalmedicine.5413-20
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