このエントリーをはてなブックマークに追加
ID 47266
JaLCDOI
FullText URL
Author
Waseda, Koichi
Murakami, Toshi
Ochi, Nobuaki
Abstract
Bronchiolitis obliterans (BO) is a disease with a poor prognosis, and a key factor that limits long-term survival after allogeneic hematopoietic stem cell transplantation (HSCT). We here report a case of a 31-year woman with acute lymphatic leukemia, which was treated by chemotherapy and HSCT, and consequently developed BO 2 years after HSCT. A non-tuberculous mycobacterial infection occurred and showed gradual exacerbation. She started taking anti-mycobacterial drugs, but lost appetite, felt tired and finally lost consciousness one month after beginning medication. Arterial blood gas revealed marked hypercapnia. Using extracorporeal life support (ECLS), the carbon dioxide concentration was reduced and her consciousness recovered. To our knowledge, this is the first case in which ECLS was successfully used for hypercapnia in a patient with BO.
Keywords
extracorporeal life support
hypercapnia
bronchiolitis obliterans
noninvasive positive pressure ventilation
Amo Type
Case Report
Published Date
2011-12
Publication Title
Acta Medica Okayama
Volume
volume65
Issue
issue6
Publisher
Okayama University Medical School
Start Page
403
End Page
406
ISSN
0386-300X
NCID
AA00508441
Content Type
Journal Article
language
英語
Copyright Holders
CopyrightⒸ 2011 by Okayama University Medical School
File Version
publisher
Refereed
True
PubMed ID
Web of Sience KeyUT