- 期刊
Influenza Pneumonia Associated with Invasive Pulmonary Aspergillosis Requiring Venovenous Extracorporeal Membrane Oxygenation Support: A Case Report and Literature Review
摘要
Invasive pulmonary aspergillosis (IPA) is an often underdiagnosed, lethal coinfection in critically ill patients who have influenza pneumonia. Here, we reported the case of a 49-year-old man without classic immunocompromised host factors for IPA. The patient was diagnosed with influenza and IPA coinfection complicated by acute respiratory distress syndrome. He recovered successfully after antifungal agent treatment and venovenous extracorporeal membrane oxygenation (ECMO) support. With regard to the effect of ECMO on the pharmacokinetics of voriconazole, therapeutic drug monitoring was performed to ensure an optimal antifungal agent dose. This case report highlights the importance of early diagnosis and treatment of IPA, and the role of therapeutic drug monitoring in patients receiving ECMO.
延伸閱讀
- Cheng, C. S., Chang, M. J., Huang, S. F., & Huang, C. C. (2003). Invasive Pulmonary Aspergillosis in Immunocompromised Cases with Acute Respiratory Failure: Three Case Reports. 胸腔醫學, 18(6), 525-530. https://www.airitilibrary.com/Article/Detail?DocID=10239855-200312-18-6-525-530-a
- Kao, X. M., Yu, W. K., Zhu, W. M., Li, N., & Li, J. S. (2012). Repeated Lung Lavage with Extracorporeal Membrane Oxygenation Treating Severe Acute Respiratory Distress Syndrome due to Nasogastric Tube Malposition for Enteral Nutrition: A Case Report. Asia Pacific Journal of Clinical Nutrition, 21(4), 638-641. https://doi.org/10.6133/apjcn.2012.21.4.20
- Lin, E. K., Tsai, H. L., Chang, T. K., Huang, C. W., & Wang, J. Y. (2022). Pneumoperitoneum, Pneumoretroperitoneum, Pneumomediastinum, Pneumothorax, and Subcutaneous Emphysema after Colonoscopic Polypectomy: A Case Report and Literature Review. 中華民國大腸直腸外科醫學會雜誌, 33(2), 93-98. https://doi.org/10.6312/SCRSTW.202206_33(2).11025
- Chang, C. C., Tsao, S. M., Wu, T. C., & Tsao, T. C. Y. (2009). Successful Treatment of Invasive Pulmonary Aspergillosis Using a New Antifungal Agent (Caspofungin) in an Immunocompetent Patient with Chronic Obstructive Pulmonary Disease-A Case Report. 胸腔醫學, 24(2), 99-105. https://doi.org/10.29806/TM.200904.0004
- Tsou, P. H., Fu, P. K., Chen, Y. H., Shen, G. H., & Hsu, J. Y. (2013). Pulmonary Alveolar Proteinosis Combined with Pulmonary Aspergillosis in an Elderly Patient: A Case Report and Literature Review. 胸腔醫學, 28(1), 18-24. https://www.airitilibrary.com/Article/Detail?DocID=10239855-201302-201302220027-201302220027-18-24