Please use this identifier to cite or link to this item: doi:10.22028/D291-36549
Title: Extracorporeal membrane oxygenation (ECMO) as salvage treatment for pulmonary Echinococcus granulosus infection with acute cyst rupture
Author(s): Becker, Sören L.
Fähndrich, Sebastian
Trudzinski, Franziska C.
Gärtner, Barbara
Langer, Frank
Becker, Torben K.
Bals, Robert
Lepper, Philipp M.
Lensch, Christian
Language: English
Title: International Journal of Infectious Diseases
Volume: 64
Pages: 47-49
Publisher/Platform: Elsevier
Year of Publication: 2017
Free key words: Extracorporeal membrane oxygenation (ECMO)
Echinococcus granulosus
Hydatid disease
DDC notations: 610 Medicine and health
Publikation type: Journal Article
Abstract: Extracorporeal membrane oxygenation (ECMO) has been used successfully for the treatment of patients with respiratory failure due to severe infections. Although rare, parasites can also cause severe pulmonary disease. Tapeworms of the genus Echinococcus give rise to the development of cystic structures in the liver, lungs, and other organs. Acute cyst rupture leads to potentially life-threatening infection, and affected patients may deteriorate rapidly. The case of a young woman from Bulgaria who was admitted to hospital with severe dyspnoea, progressive chest pain, and haemoptysis is described. Computed tomography of the chest was pathognomonic for cystic echinococcosis with acute cyst rupture. Following deterioration on mechanical ventilation, she was cannulated for veno-venous ECMO. The patient’s condition improved considerably, and she was weaned successfully from ECMO and mechanical ventilation. Following lobectomy of the affected left lower lobe, the patient was discharged home in good condition. This appears to be the first report of the successful use of ECMO as salvage treatment for a severe manifestation of a helminthic disease. Due to recent migration to Western Europe, the number of patients presenting with respiratory failure due to pulmonary echinococcosis with cyst rupture is likely to increase.
DOI of the first publication: 10.1016/j.ijid.2017.09.001
URL of the first publication:
Link to this record: urn:nbn:de:bsz:291--ds-365496
ISSN: 1201-9712
Date of registration: 22-Jun-2022
Faculty: M - Medizinische Fakultät
Department: M - Chirurgie
M - Infektionsmedizin
M - Innere Medizin
Professorship: M - Prof. Dr. Robert Bals
M - Prof. Dr. Sören Becker
M - Keiner Professur zugeordnet
Collections:SciDok - Der Wissenschaftsserver der Universität des Saarlandes

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