| JaLCDOI |
10.18926/AMO/47266
|
| FullText URL |
65_6_403.pdf
|
| Author |
Waseda, Koichi|
Tanimoto, Yasushi|
Ichiba, Shingo|
Miyahara, Nobuaki|
Murakami, Toshi|
Ochi, Nobuaki|
Terado, Michihisa|
Nagano, Osamu|
Maeda, Yoshinobu|
Kanehiro, Arihiko|
Ujike, Yoshihito|
Tanimoto, Mitsune|
|
| 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
|
| Publication Title |
Acta Medica Okayama
|
| Published Date |
2011-12
|
| 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 |
English
|
| Copyright Holders |
CopyrightⒸ 2011 by Okayama University Medical School
|
| File Version |
publisher
|
| Refereed |
True
|
| PubMed ID |
22189481
|
| Web of Science KeyUT |
000298516900007
|
