scholarly journals Successful Extracorporeal Membrane Oxygenation Treatment in an Acquired Immune Deficiency Syndrome (AIDS) Patient with Acute Respiratory Distress Syndrome (ARDS) Complicating Pneumocystis jirovecii Pneumonia: A Challenging Case

2020 ◽  
Vol 21 ◽  
Author(s):  
Benedetto Maurizio Celesia ◽  
Andrea Marino ◽  
Savino Borracino ◽  
Antonio F. Arcadipane ◽  
Grazia Pantò ◽  
...  
2022 ◽  
Vol 17 ◽  
Author(s):  
Yuki Yabuuchi ◽  
Masashi Matsuyama ◽  
Sosuke Matsumura ◽  
Masayuki Nakajima ◽  
Yoshihiko Kiyasu ◽  
...  

Pneumocystis jirovecii pneumonia (PCP) in patients with acquired immune deficiency syndrome (AIDS) shows eosinophilic pneumonia like condition. The detailed mechanisms how AIDS-associated PCP causes eosinophilic pneumonia has not been elucidated, but it has been suggested that beta-D-glucan, a major component of Pneumocystis jirovecii, and T helper type 2 immunity may be involved in the mechanism of eosinophilia in the lung. We experienced the case who developed an eosinophilic pneumonia-like condition in a patient with AIDS-associated PCP, whose clinical course indicated the importance of TARC/CCL17 but not IL-4 and IL-5 as involved in eosinophilia caused by HIV and Pneumocystis jirovecii infection.


2018 ◽  
Vol 45 (4) ◽  
pp. 254-259 ◽  
Author(s):  
Antonio T. Hernandez Conte ◽  
David Ng ◽  
Danny Ramzy ◽  
Deanna Dilibero ◽  
Troy M. LaBounty ◽  
...  

The use of extracorporeal membrane oxygenation (ECMO) in patients who have acute respiratory distress syndrome has been generally beneficial. However, because of various concerns, ECMO has rarely been used in patients who have human immunodeficiency virus infection with or without acquired immune deficiency syndrome. We report our successful use of venovenous ECMO in a 29-year-old man who presented with severe respiratory distress secondary to Pneumocystis jirovecii pneumonia associated with undiagnosed infection with the human immunodeficiency virus and acquired immune deficiency syndrome. After highly active antiretroviral therapy was begun, acute immune reconstitution inflammatory syndrome developed. The patient's respiratory condition deteriorated rapidly; he was placed on venovenous ECMO for 19 days and remained intubated thereafter. After a 65-day hospital stay and inpatient pulmonary rehabilitation, he recovered fully. In addition to presenting this case, we review the few previous reports and note the multidisciplinary medical and surgical support necessary to treat similar patients.


1987 ◽  
Vol 7 (3) ◽  
pp. 261-275 ◽  
Author(s):  
Vijay Joshi ◽  
Bruce Pawel ◽  
Edward Connor ◽  
Leroy Sharer ◽  
James Oleske ◽  
...  

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