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MA Nanlan, MAO Huijuan, ZHANG Yaping, CHEN Jie, WU Zhisong, HAN Hongyang. A case report of extracorporeal membrane oxygenation technique in the treatment of hematogenous disseminated tuberculosis complicated with cytomegalovirus pneumonia and acute respiratory distress syndrome[J]. Journal of Clinical Medicine in Practice, 2021, 25(4): 29-33. DOI: 10.7619/jcmp.20201705
Citation: MA Nanlan, MAO Huijuan, ZHANG Yaping, CHEN Jie, WU Zhisong, HAN Hongyang. A case report of extracorporeal membrane oxygenation technique in the treatment of hematogenous disseminated tuberculosis complicated with cytomegalovirus pneumonia and acute respiratory distress syndrome[J]. Journal of Clinical Medicine in Practice, 2021, 25(4): 29-33. DOI: 10.7619/jcmp.20201705
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A case report of extracorporeal membrane oxygenation technique in the treatment of hematogenous disseminated tuberculosis complicated with cytomegalovirus pneumonia and acute respiratory distress syndrome

  • Second Department of Tuberculosis, Nanjing Hospital Affiliated to Nanjing University of Traditional Chinese Medicine, Jiangsu Provincial Hospital for Infectious Diseases, Nanjing City Second Hospital in Jiangsu Province, Nanjing City Public Health Medical Center in Jiangsu Province, Nanjing, Jiangsu, 211100

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  • Received Date: December 16, 2020
  • Available Online: February 05, 2021
  • Published Date: February 27, 2021
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    • Abstract
  • Extracorporeal membrane oxygenation (ECMO) technology is mainly used to provide continuous extracorporeal respiration and circulation for patients with severe cardiopulmonary failure so as to maintain the life of patients. This study reported a 13-year-old boy with acute hematogenous disseminated tuberculosis complicated with cytomegalovirus pneumonia. In a short time, he was complicated with acute respiratory distress syndrome and hemophagocytic syndrome. The oxygenation index decreased gradually, but the mechanical ventilation had no improvement in symptoms. After implementation of active anti-tuberculosis, anti-infection, anti-virus and ECMO therapies, the patient's condition improved rapidly, ECMO and ventilator were removed, and the patient was discharged with stable condition. The key to the successful rescue of this case is to take ECMO support therapy in time and then take lung protection ventilation strategy. As a life support therapy, ECMO can significantly improve the success rate of rescue and gain time for disease treatment and pulmonary function recovery.
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