Prague Medical Report (Jan 2015)

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

  • Michal Pořízka,
  • Petr Kopecký,
  • Tomáš Prskavec,
  • Jan Kunstýř,
  • Jan Rulíšek,
  • Martin Balík

DOI
https://doi.org/10.14712/23362936.2015.47
Journal volume & issue
Vol. 116, no. 1
pp. 57 – 63

Abstract

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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.

Keywords