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KMID : 1035620150030060456
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Allergy Asthma & Respiratory Disease
2015 Volume.3 No. 6 p.456 ~ p.460
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Life-threatening human metapneumovirus pneumonia requiring extracorporeal membrane oxygenation in a 26-month-old child
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최선하:Choi Sun-Ha
윤서희:Yoon Seo-Hee/설인숙:Sol In-Suk/김민정:Kim Min-Jung/김윤희:Kim Yoon-Hee/신홍주:Shin Hong-Ju/김경원:Kim Kyung-Won/손명현:Sohn Myung-Hyun/김규언:Kim Kyu-Earn
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Abstract
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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.
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KEYWORD
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Human metapneumovirus, Child, Acute respiratory distress syndrome, Extracorporeal membrane oxygenations
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