• Medicine · Jun 2021

    Case Reports

    Successful treatment of severe myocardial injury complicated with refractory cardiogenic shock caused by AOPP using extracorporeal membrane oxygenation: A case report.

    • Yang Li, ChunShui Cao, XiaoLong Luo, and Liang Huang.
    • Department of Emergency Medicine, The First Affiliated Hospital of Nanchang University, Donghu District, Nanchang, Jiangxi Province, China.
    • Medicine (Baltimore). 2021 Jun 11; 100 (23): e26318e26318.

    RationaleAcute organophosphorus pesticide poisoning (AOPP) is a common critical illness observed in clinical practice, and severe AOPP can cause serious cardiac toxicity.Patient ConcernsThis patient was a 43-year-old woman who was admitted to the emergency department with acute respiratory failure and hypotension 13 hours after oral consumption of 300 mL of phoxim pesticide.DiagnosesAcute organophosphorus pesticide poisoning, cardiogenic shock.InterventionsWe conducted veno-arterial extracorporeal membrane oxygenation (VA-ECMO) therapy as the patient did not respond to conventional measures.OutcomesThis patient was successfully rescued with VA-ECMO therapy and discharged.LessonsWe suggest that for patients with severe myocardial injury complicated with cardiogenic shock caused by AOPP, the use of VA-ECMO therapy can improve the prognosis.Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.

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