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Extracorporeal membrane oxygenation as a successful salvage treatment in an HIV-positive patient with Pnemocystis jirovecii pneumonia

Vladimir Krajinović orcid.org/0000-0002-3692-7284 ; University Hospital for Infectious Diseases “Dr. Fran Mihaljević”, Zagreb, Croatia
Renata Josipović ; University Hospital for Infectious Diseases “Dr. Fran Mihaljević”, Zagreb, Croatia
Anica Jasenko ; University Hospital for Infectious Diseases “Dr. Fran Mihaljević”, Zagreb, Croatia
Marija Kusulja ; University Hospital for Infectious Diseases “Dr. Fran Mihaljević”, Zagreb, Croatia

Abstract

HIV-positive patients with Pneumocystis jirovecii pneumonia and severe respiratory failure have a high risk of mortality. In this paper we describe a case of a patient who was hospitalized for Pneumocystis pneumonia and newly diagnosed HIV-infection. His respiratory function deteriorated rapidly, necessitating early initiation of extracorporeal membrane oxygenation. The patient recovered well and was discharged after a prolonged hospital stay totaling 191 days. This paper highlights the use of veno-venous extracorporeal membrane oxygenation in patients with HIV-infection and pneumocystis pneumonia and provides a review of previously published literature on the same topic.

Keywords

Pneumocystis jirovecii; pneumonia; human immunodeficiency virus (HIV); extracorporeal membrane oxygenation

Hrčak ID:

220031

URI

https://hrcak.srce.hr/220031

Publication date:

13.5.2019.

Article data in other languages: croatian

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