Acute Respiratory Distress Syndrome Requiring Extracorporeal Membrane Oxygenation as the Initial Presentation of Anti-neutrophillic Cytoplasmic Auto-antibody Positive Vasculitis.
ards
cardiothoracic surgery
critical care
extracorporeal membrane oxygenation (ecmo)
icu
mpo/p-anca
p-anca vasculitis
pauci immune glomerulonephritis
renal biopsy
young
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
12 Nov 2019
12 Nov 2019
Historique:
entrez:
31
12
2019
pubmed:
31
12
2019
medline:
31
12
2019
Statut:
epublish
Résumé
Acute respiratory distress syndrome (ARDS) is a life-threatening inflammatory state of lung injury that can require acute interventions including mechanical ventilation as well as emergent veno-venous extracorporeal membrane oxygenation (VV-ECMO) for management. Etiologies of ARDS are not clearly discernible in certain cases and can vary from sepsis, pneumonia, trauma and intoxication. Anti-nuclear cytoplasmic auto-antibody (ANCA)-associated vasculitis (AAV) is a group of several conditions that can have pulmonary complications including ARDS. We present a case where the primary manifestation of myeloperoxidase (MPO)-ANCA positive vasculitis was ARDS, in order to highlight the importance of investigating rare vasculitides as the underlying cause of ARDS and the importance of ECMO as an early life-saving intervention for the management of ARDS.
Identifiants
pubmed: 31886071
doi: 10.7759/cureus.6135
pmc: PMC6903887
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e6135Informations de copyright
Copyright © 2019, Kundu et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Clin Chest Med. 2004 Mar;25(1):133-40
pubmed: 15062605
Clin Exp Nephrol. 2013 Oct;17(5):667-671
pubmed: 23188194
Eur Respir Rev. 2017 Apr 26;26(144):null
pubmed: 28446599
Chest. 1996 Aug;110(2):357-62
pubmed: 8697833
Am J Respir Crit Care Med. 2012 Aug 1;186(3):216-24
pubmed: 22679011
Cleve Clin J Med. 2012 Nov;79 Suppl 3:S27-30
pubmed: 23203641
Clin Med Insights Circ Respir Pulm Med. 2015 Sep 23;9(Suppl 1):51-6
pubmed: 26448696
Am J Respir Crit Care Med. 1994 Mar;149(3 Pt 1):818-24
pubmed: 7509706
Semin Diagn Pathol. 2018 Jul;35(4):260-271
pubmed: 29631763
J Rheumatol. 2017 Oct;44(10):1458-1467
pubmed: 28765242
Anaesthesist. 1997 Nov;46(11):969-73
pubmed: 9490585