Prague Med. Rep. 2015, 116, 57-63

https://doi.org/10.14712/23362936.2015.47

Successful Use of Extra-corporeal Membrane Oxygenation in a Patient with Streptococcal Sepsis: A Case Report and Review of Literature

Michal Pořízka1, Petr Kopecký1, Tomáš Prskavec2, Jan Kunstýř1, Jan Rulíšek1, Martin Balík1

1Department of Anaesthesiology and Intensive Care, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Prague, Czech Republic
22nd Department of Surgery – Department of Cardiovascular Surgery, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Prague, Czech Republic

Received November 23, 2014
Accepted March 12, 2015

A young patient with streptococcal sepsis due to the phlegmon of his left thigh was admitted to the general intensive care unit. He developed a multi-organ failure and septic cardiomyopathy with subsequent cardiogenic shock. This resulted in hemodynamic instability unresponsive to conservative medical treatment. We report a successful application of veno-arterial extra-corporeal membrane oxygenation, which was used to overcome the period of critically low cardiac output caused by severe septic myocardial dysfunction.

References

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