• A & A case reports · Oct 2016

    Case Reports

    Successful Treatment of Refractory Hypoxemia Secondary to Disseminated Histoplasmosis Using Extracorporeal Membrane Oxygenation Support.

    • Brendan T Wanta, Harmony L Tyner, John K Bohman, and Larry M Baddour.
    • From the *Division of Anesthesia and Critical Care Medicine, Department of Anesthesiology, †Division of Infectious Diseases, Department of Medicine, and ‡Department of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota.
    • A A Case Rep. 2016 Oct 15; 7 (8): 161-164.

    AbstractRefractory hypoxemia secondary to acute respiratory distress syndrome (ARDS) is associated with high mortality. Extracorporeal membraneoxygenation (ECMO) is an accepted strategy for treating refractory hypoxemia in patients with ARDS but is relatively contraindicated in the setting of systemic infections. We present a case of successful ECMO use in a host with refractory hypoxemia secondary to disseminated histoplasmosis with fungemia and discuss our management approach to this difficult patient.

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