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Sun Ha Choi1, Seo Hee Yoon1, 2, In Suk Sol1, 2, Min Jung Kim1, 2, Yoon Hee Kim1, 2
, Hong Ju Shin3, Kyung Won Kim1, 2, Myung Hyun Sohn1, 2, Kyu-Earn Kim1, 2
, Hong Ju Shin3, Kyung Won Kim1, 2, Myung Hyun Sohn1, 2, Kyu-Earn Kim1, 2
Abstract
We present the first case report of a child with human metapneumovirus (hMPV) pneumonia who survived by extracorporeal membrane oxygenation (ECMO) in Korea. A 26-month-old boy with a previous history of Lennox-Gastaut syndrome and delayed development suffered from respiratory failure after 4 days of fever, cough, and sputum. The boy underwent intubation and required ECMO application due to failure of conventional mechanical ventilation. He was on the ECMO support for 7 days. To our knowledge, this is the shortest period reported for ECMO application among successfully treated patients with hMPV infection accompanied by acute respiratory distress syndrome. This case highlights 2 clinical implications: the potentially fatal causative role of hMPV in respiratory failure in a pediatric population and the timely utilization of ECMO.
Figures and Tables
Fig. 1
(A) Four days after extracorporeal membrane oxygenation (ECMO) application, haziness on both lungs was improving. (B) Aeration in both lungs was increasing 1 hour before weaning ECMO. (C) Consolidation in right upper lung was slightly decreasing 1 day after weaning ECMO.
Fig. 2
Combination of continuous renal replacement therapies (CRRT) and extracorporeal membrane oxygenation (ECMO) circuit. The CRRT circuits were connected to the ECMO venous circuit. The circled portion is the centrifugal pump of ECMO. The square portion is the membrane oxygenator of ECMO. The two arrows are showing the CRRT connections, which were located before the centrifugal pump of ECMO.
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