Rare disease
Extracorporeal membrane oxygenation (ECMO) for severe acute respiratory distress syndrome (ARDS) in fulminant blastomycosis in Germany
1 Regensburg University Medical Center, Department of Internal Medicine II, Franz-Josef-Strauss-Allee 11, Regensburg, 93053, Germany
2 Regensburg University Medical Center, Department of Pathology, Franz-Josef-Strauss-Allee 11, Regensburg, 93053, Germany
3 Regensburg University Medical Center, Department of Microbiology, Franz-Josef-Strauss-Allee 11, Regensburg, 93053, Germany
4 Robert Koch-Institut, Nordufer 20, Berlin, 13353, Germany
5 Regensburg University Medical Center, Department of Internal Medicine I, Franz-Josef-Strauss-Allee 11, Regensburg, 93053, Germany
6 Regensburg University Medical Center, Department of Cardiac and Thoracic Surgery, Franz-Josef-Strauss-Allee 11, Regensburg, 93053, Germany
Correspondence to:
Markus Resch, Markus.Resch{at}klinik.uni-regensburg.de
In fulminant blastomycosis with multiorgan failure, the earliest diagnosis possible is crucial for successful treatment. If severe acute respiratory distress syndrome (ARDS) develops, miniaturised veno-venous extracorporeal membrane oxygenation (ECMO) might provide a unique and efficacious possibility to prolong the time frame for diagnosis and the beginning of treatment. This is the first report on a case of fatal blastomycosis in Germany. It reminds us to add exotic infections to the differential diagnosis in patients with refractory pneumonia in the era of worldwide tourism.
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