Varicella associated acute respiratory distress syndrome in an adult patient: an example for extracorporeal respiratory support in Brazilian endemic diseases

Rev Bras Ter Intensiva. 2014 Oct-Dec;26(4):410-5. doi: 10.5935/0103-507X.20140063.
[Article in English, Portuguese]

Abstract
in English, Portuguese

A case of a 30 year-old man presenting with severe systemic chickenpox with refractory hypoxemia, central nervous system vasculitis and anuric renal failure is described. Ambulance transportation and support using veno-venous extracorporeal membrane oxygenation were necessary until the patient recovered. Ultimately, the potential use of extracorporeal membrane oxygenation support in low-middle income countries to manage common diseases is discussed.

Descreveu-se aqui o caso de um homem de 30 anos de idade com quadro de varicela grave, hipoxemia refratária, vasculite do sistema nervoso central e insuficiência renal anúrica. Foi necessário transporte por ambulância com suporte respiratório extracorpóreo veno-venoso, sendo este utilizado até a recuperação do paciente. Discute-se o potencial uso de oxigenação por membrana extracorpórea em países em desenvolvimento para o controle de doenças comuns nestas áreas.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anuria / virology
  • Brazil
  • Chickenpox / complications*
  • Extracorporeal Membrane Oxygenation / methods*
  • Humans
  • Hypoxia / virology
  • Male
  • Renal Insufficiency / virology
  • Respiratory Distress Syndrome / therapy
  • Respiratory Distress Syndrome / virology*
  • Severity of Illness Index
  • Treatment Outcome
  • Vasculitis, Central Nervous System / virology