• Chao Yu, Lunbing Xv, Xiaochun Peng, and Min Shao.
• Department of Critical Care Medicine, The First Affiliated Hospital of Anhui Medical University, PR China.
• Medicine (Baltimore). 2022 Jan 28; 101 (4): e28717e28717.

RationalePrimary pulmonary lymphoma (PPL) is a rare disease, and rapid progression of pulmonary exudation leads to severe respiratory failure. Here, we present the case of a critically ill patient with PPL complicated by refractory hypoxemic respiratory failure. The patient was ultimately cured with a successful combination of extracorporeal membrane oxygenation (ECMO) and chemotherapy.Patient ConcernsA 36-year-old woman was hospitalized because of a 2-month history of cough with fever and shortness of breath. Computed tomography revealed multiple pulmonary nodules, consolidation, and solid pulmonary opacities. Complications of pneumothorax occurred after computed tomography-guided core needle biopsy, and respiratory failure progressively developed (PaO2/FiO2 65 mm Hg).DiagnosisPrimary pulmonary lymphoma, respiratory failure, stress cardiomyopathy, cardiogenic shock.InterventionsThe patient was treated with veno-venous ECMO and chemotherapy.OutcomesThe patient was successfully weaned off ECMO after chemotherapy and transferred out of the intensive care unit on day 9. After regular chemotherapy, no obvious lesions were observed in either lung tissue.ConclusionECMO can be selected as an important salvage treatment for patients with severe cardiopulmonary dysfunction caused by PPL and other malignant tumors that may be cured or transferred to a stable stage.Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.

30 keywords...

hide…