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  • The answer is blowing in the wind: an uncommon cause for severe ARDS accompanied by circulatory insufficiency requiring extracorporeal membrane oxygenation

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CASE REPORT
The answer is blowing in the wind: an uncommon cause for severe ARDS accompanied by circulatory insufficiency requiring extracorporeal membrane oxygenation
  1. Gunilla Einecke1,
  2. Gernot Beutel2,
  3. Marius M Hoeper3,
  4. Jan T Kielstein4
  1. 1Department of Nephrology, Medizinische Hochschule Hannover, Hannover, Germany
  2. 2Department of Hematology, Hemostaseology, Oncology and Stem Cell Transplantation, Medizinische Hochschule Hannover, Hannover, Germany
  3. 3Department of Respiratory Medicine, Medizinische Hochschule Hannover, Hannover, Germany
  4. 4Department of Nephrology, Stadtisches Klinikum Braunschweig GmbH, Braunschweig, Germany
  1. Correspondence to Professor Jan Kielstein, kielstein{at}yahoo.com

Summary

We report a rare complication in an immunosuppressed patient with IgA nephropathy who suffered from severe acute respiratory distress syndrome, severe capillary leakage and shock after placement of a double lumen central venous catheter. He could be successfully treated by extracorporeal membrane oxygenation (ECMO) and therapeutic plasma exchange. This report highlights the severity of late-onset complications of catheter placements and shows the potential of ECMO treatment for the management of acute illnesses with bridge to recovery.

https://doi.org/10.1136/bcr-2016-218079

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    Footnotes

    • Contributors GE, GB, MMH and JTK contributed to the concept of this case presentation. GE and JK drafted the manuscript; GB and MMH reviewed the manuscript critically and revised it. All authors approved the final version of the manuscript, and agree to be accountable for all aspects of the work.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.