Importance of extracorporeal membrane oxygenation (ECMO) in therapy for legionella pneumonia in patient with hairy-cell leucosis
https://doi.org/10.35401/2500-0268-2019-15-3-44-48
Abstract
Clinical observation of the patient with legionella pneumonia which developed in the setting of hairy-cell leukosis, required use of extracorporeal membrane oxygenation for controlling life-threatening hypoxia is presented. Active diagnostic approach for identification of the etiologic agent (Legionella pneumophila, Acinetobacter baumannii) that caused pneumonia, allowed to choose an optimum set of antibacterial agents and medicines for specific therapy of hemoblastosis (BRAFV600E mutation and use of Zelboraf). After correction of respiratory insufficiency and discontinue the patient from ECMO, we could reach hematologic remission and transfer the patient to the Institute of Hematology for further treatment.
About the Authors
A. A. Skopets
Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1
Russian Federation
Russian Federation
Skopets Alexander A. – Cand. of Sci. (Med.), head of anesthesiology and resuscitation unit no. 2
350086, Krasnodar, 167, 1st May str.
I. A. Kornilov
Meshalkin National Medical Research Center
Russian Federation
Russian Federation
Kornilov Igor A. – senior research assistant of the anesthesiology and resuscitation center
Novosibirsk
E. S. Afonin
Scientific Research Institute – Ochapovsky Regional Clinical Hospital no. 1
Russian Federation
Russian Federation
Afonin Evgeniy S. – physician of anesthesiology and resuscitation unit no. 2
Krasnodar
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Review
For citations:
Skopets A.A., Kornilov I.A., Afonin E.S. Importance of extracorporeal membrane oxygenation (ECMO) in therapy for legionella pneumonia in patient with hairy-cell leucosis. Innovative Medicine of Kuban. 2019;(3):44-48. (In Russ.) https://doi.org/10.35401/2500-0268-2019-15-3-44-48
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