Influenza A triggered status asthmaticus requiring emergency ECMO

https://doi.org/10.4081/monaldi.2010.286

Authors

  • F. Guarracino | fabiodoc64@hotmail.com Cardiothoracic Intensive Care Medicine, Azienda Ospedaliera Universitaria Pisana, Pisa, Italy.
  • M. Stefani Cardiothoracic Intensive Care Medicine, Azienda Ospedaliera Universitaria Pisana, Pisa, Italy.
  • P. Maremmani Intensive Care Unit, Azienda Ospedaliera Universitaria Pisana, Pisa, Italy.
  • M. Corini Intensive Care Unit, Azienda Ospedaliera Universitaria Pisana, Pisa, Italy.
  • S. Pini Intensive Care Unit, Azienda Ospedaliera Universitaria Pisana, Pisa, Italy.
  • C. Tascini Infectious Disease Unit, Azienda Ospedaliera Universitaria Pisana, Pisa,, Italy.
  • F. Menichetti Infectious Disease Unit, Azienda Ospedaliera Universitaria Pisana, Pisa, Italy.
  • N. Ambrosino Pulmonary Unit; Azienda Ospedaliera Universitaria Pisana, Pisa, Italy.

Abstract

We describe a case of acute respiratory failure due to severe pneumonia triggered by the influenza A virus, rapidly evolving into a refractory status asthmaticus requiring emergent ECMO assistance, in order to facilitate the clinical management of patients suffering from this rare but life-threatening condition. This case report demonstrates that infection with influenza A virus can present with severe pneumonia and status asthmaticus refractory to medical and ventilatory treatment. When medical treatment and mechanical ventilation fail, extracorporeal membrane oxygenation therapy should not be delayed as it will avoid injury resulting from inadequate mechanical ventilation and lung hyperinflation.

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Published
2016-01-19
Info
Issue
Section
Case Reports
Keywords:
Influenza A, Asthma, Status asthmaticus, Acute respiratory failure, ECMO, Mechanical ventilation
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  • PDF: 366
How to Cite
Guarracino, F., M. Stefani, P. Maremmani, M. Corini, S. Pini, C. Tascini, F. Menichetti, and N. Ambrosino. 2016. “Influenza A Triggered Status Asthmaticus Requiring Emergency ECMO”. Monaldi Archives for Chest Disease 73 (4). https://doi.org/10.4081/monaldi.2010.286.