Abstract:
:Churg-Strauss Syndrome (CSS) complicated with cardiogenic shock is rare. Few case reports have described successful treatment of this rare disease. However, no one has reported on the application of mechanical life support with extracorporeal membrane oxygenation (ECMO) to treat this life-threatening disease.A 36-year-old female with limb numbness for >10 days, chest tightness for 2 days, and worsening dyspnea for 5 h presented in the emergency room. Vital signs showed a low blood pressure (104/60 mm Hg), increased heart rate (158 bpm), and respiration rate (28 bpm). Laboratory tests revealed that eosinophil was significantly increased (WBC: 34.46 × 10/L, neutrophil: 7.56 × 10/L[21.9%], eosinophil: 23.84 × 10/L[69.2%]), and serum myocardial enzymes was abnormal (CK 1049U/L, CKMB-mass 145.1 μg/L, cTnI 16.24 μg/L). Myocardial injury (tachycardia with ST elevation) and poor heart function (LVEF 31%) were found by electrocardiogram and transthoracic echocardiography. On the next day, cardiogenic shock had been developed as demonstrated by deteriorating the perfusion index.Churg-Strauss Syndrome with cardiogenic shock.A series of conservative therapy with drugs such as corticosteroids, anticoagulant, antiplatelet, nitrates, calcium antagonists, inotrope, and vasopressors were initiated on the day of admission. The treatment was ineffective and a cardiogenic shock developed on the next day. Thus, ECMO was initiated immediately to stabilize circulation and perfusion. At the same time, high-dose corticosteroids combined with immunosuppressive therapy were continuously used.Symptoms of cardiogenic shock were gradually improved after ECMO treatment. Elevated values of cardiac enzymes were decreased and the dose of vasoactive drugs was reduced. Extracorporeal membrane oxygenation was discontinued after 8 days, and the patient was eventually weaned off the ventilator. The patient was discharged after 40 days treatment.Once a CSS develops into a cardiogenic shock, the ECMO should be considered as an alternative therapeutics in that it stabilizes hemodynamic status, maintains effective tissue perfusion, and provides an opportunity for the recovery of cardiac function.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Cui N,Su L,Wang H,Long Y,Pang C,Yang F,Liu Ddoi
10.1097/MD.0000000000001757subject
Has Abstractpub_date
2015-10-01 00:00:00pages
e1757issue
43eissn
0025-7974issn
1536-5964pii
00005792-201510270-00025journal_volume
94pub_type
杂志文章相关文献
MEDICINE文献大全abstract:BACKGROUND:Residual postoperative neuromuscular blockade is an important clinical issue. Neuromuscular monitoring is usually used to evaluate neuromuscular recovery in patients undergoing general anesthesia. However, this procedure is inconvenient and not widely adopted. We aimed to examine the correlation between grip...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000013940
更新日期:2019-01-01 00:00:00
abstract::Although remifentanil is used widely by many clinicians during general anesthesia, there are recent evidences of opioid-induced hyperalgesia as an adverse effect. This study aimed to determine if intraoperative remifentanil infusion caused increased pain during the postoperative period in patients who underwent a thyr...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000002764
更新日期:2016-02-01 00:00:00
abstract:RATIONALE:Dislocation of the distal radioulnar joint and injury to distal forearm are commonly encountered. However, delayed diagnosis or misdiagnosis has been relatively rare due to improved diagnosis and treatment. Treatment of old dislocation of radioulnar joint is challenging due to development of secondary chronic...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010752
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND:Low back pain and pelvic girth pain are common in pregnancy and women commonly utilize complementary manual therapies such as massage, spinal manipulation, chiropractic, and osteopathy to manage their symptoms. OBJECTIVE:The aim of this systematically review was to critically appraise and synthesize the bes...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000004723
更新日期:2016-09-01 00:00:00
abstract:INTRODUCTION:Substantial advances in cardiac pacing technology have been developed in the past decades. However, efforts to improve pacing technology to achieve physiological electrical activity, such as with cardiac resynchronization therapy, are underway. Permanent His bundle pacing, which directly stimulates the His...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021097
更新日期:2020-08-14 00:00:00
abstract:RATIONALE:Wandering spleen (WS) is a rare clinical entity characterized by splenic hypermobility caused by absent or abnormal laxity of the suspensory ligaments, which fix the spleen in its normal position. Due to abnormal attachment, the spleen is predisposed to torsion and a series of complications. Pediatric WS is m...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000022063
更新日期:2020-09-11 00:00:00
abstract::The process of determining the level of care and specific postacute care facility for stroke patients has not been adequately studied. The objective of this study was to better understand the factors that influence postacute care decisions by surveying stroke discharge planners. Requests were sent to discharge planner...
journal_title:Medicine
pub_type: 杂志文章,多中心研究
doi:10.1097/MD.0000000000003206
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Cinobufotalin injection (CFI), a kind of Chinese medicine, has been considered as a promising complementary therapy option for advanced non-small cell lung cancer (NSCLC), but their efficacy and safety remain controversial. This study aimed to systematically evaluate the efficacy and safety of ...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000016969
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND:Patients with spinal fusion often have opioid tolerance and chronic pain, which makes it difficult to control postoperative pain. In this double-blind, randomized, prospective study, we assessed the safety and efficacy of intravenous low-dose ketamine for the treatment of pain in patients undergoing the lumb...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000022162
更新日期:2020-09-18 00:00:00
abstract::The clinical symptoms of pylephlebitis caused by acute appendicitis are varied and atypical, which leads to delayed diagnosis and poor outcomes. Here, we report a case of intestinal necrosis caused by thrombophlebitis of the portomesenteric veins as a complication of acute appendicitis after appendectomy. The patient ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000001033
更新日期:2015-06-01 00:00:00
abstract::Since the 1990s, changing trends have been documented in species distribution and susceptibility to bloodstream infections caused by Candida species in cancer patients. However, few data are available regarding the association between in vitro antifungal susceptibility and outcome of candidemia in this patient populat...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/01.md.0000091182.93122.8e
更新日期:2003-09-01 00:00:00
abstract::This study aims to investigate major complications or symptoms of pregnant women, causes of maternal near-miss, and issues that are relevant to severe maternal disease.A retrospective analysis was performed in the "maternal individual investigation form," which included all critical maternity patients admitted to the ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000011748
更新日期:2018-08-01 00:00:00
abstract:ABSTRACT:Emergency departments receive an increasing amount of musculoskeletal injuries, with the majority referred to a fracture clinic (FCs). A literature review revealed certain orthopaedic injuries can be safely managed away from the FC pathway by general practitioners (GPs) or allied health professionals (AHPs). T...
journal_title:Medicine
pub_type: 杂志文章,多中心研究
doi:10.1097/MD.0000000000023763
更新日期:2020-12-24 00:00:00
abstract::Hereditary multiple intestinal atresia (HMIA) is a rare cause of intestinal obstruction in humans associated with a profound combined immune deficiency. Deleterious mutations of the tetratricopeptide repeat domain-7A (TTC7A) gene lead to HMIA, although the mechanism(s) causing the disease in TTC7A deficiency has (have...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000000327
更新日期:2014-12-01 00:00:00
abstract:BACKGROUND:Male fertility has gradually become a worldwide problem. Because of the limitation of treatment, many drugs have been used for improving sperm quality. Among them, alpha-lipoic acid (ALA), as a treatment of diabetic neuropathy, has been applied to improve the quality of sperm in clinical practice, with satis...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000018453
更新日期:2019-12-01 00:00:00
abstract::Patency of the right hepatic vein (RHV) of the liver graft is essential for successful living-donor liver transplant (LDLT). We developed a simple technique for RHV reconstruction that does not require the use of cadaveric veins or additional time to prevent stenosis.Of 159 patients who underwent LDLT at our instituti...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000011815
更新日期:2018-08-01 00:00:00
abstract:RATIONALE:Low-grade fibromyxoid sarcoma (LGFMS) is a pathological type of fibrosing fibrosarcoma that appears as a distinctive soft tissue masse with bland histological features. It is mostly located in the deep soft tissues of the extremities. Computed tomography (CT) plays an important role in diagnosing fibrosing fi...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009409
更新日期:2017-12-01 00:00:00
abstract:RATIONALE:Spinal cord injury (SCI) is one of the common complications of spinal surgery. There is no definite treatment and time of decompression for spinal cord induced by epidural hematoma during vertebroplasty. PATIENT CONCERNS:A total of 6 patients with SCI during vertebroplasty were included in our research. All ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010732
更新日期:2018-05-01 00:00:00
abstract::To assess prognostic factors for survival and describe Model for End-Stage liver disease (MELD) dynamics in human immunodeficiency virus+/hepatitis C virus+ (HIV+/HCV+) patients after an initial episode of hepatic decompensation.An HIV+/HCV+ cohort of patients experiencing an initial decompensation episode within the ...
journal_title:Medicine
pub_type: 杂志文章,多中心研究
doi:10.1097/MD.0000000000001239
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:It is well known that cardiologists empirically judge the culprit lesion of acute ST-segment elevation myocardial infarction (STEMI) according to the corresponding electrocardiographic leads. However, In addition to the obstruction of left anterior descending (LAD) coronary artery, rare cases with the occlus...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005113
更新日期:2016-10-01 00:00:00
abstract:RATIONALE:Congenital diaphragmatic hernia (CDH) associated congenital anomalies are present in about 25%. Congenital short esophagus (CSE) is a relatively rare condition. Both CDH and congenital intrathoracic stomach caused by CSE can be diagnosed in utero. However, CSE can be easily misdiagnosed in utero. PATIENT CON...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008996
更新日期:2017-12-01 00:00:00
abstract:BACKGROUND:A carcinoma ex pleomorphic adenoma (CXPA) is an epithelial malignancy arising in or from a benign pleomorphic salivary adenoma. The parotid gland is the most common location of CXPAs. Minor salivary gland CXPAs of the nasal cavity are exceedingly rare, with only 6 documented in the literature. METHODS AND R...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005004
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:Previous clinical studies have reported that furosemide can be used to treat liver cirrhosis (LC) effectively. However, no study systematically explored this issue. This systematic review aims to investigate the efficacy and safety of furosemide for treatment of LC. METHODS:This study will be conducted thro...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000015300
更新日期:2019-04-01 00:00:00
abstract:RATIONALE:Intraductal papillary mucinous neoplasms of the pancreas (IPMNs) are benign cystic tumors with a relevant risk of malignant transformation over time. Currently, follow-up after surgical resection of benign IPMNs remains controversial. PATIENT CONCERNS:This is a case report of a 68-year-old male who underwent...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009894
更新日期:2018-02-01 00:00:00
abstract::It is shown that there are strong associations between nonalcoholic fatty liver disease (NAFLD) and endothelial dysfunction. The aim of our study was to reveal whether steatosis or fibrosis score is more important in the development of endothelial dysfunction in patients with NAFLD in a prospective manner.This cross-s...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000003280
更新日期:2016-04-01 00:00:00
abstract:RATIONALE:Pilocytic astrocytoma (PA) is the most common pediatric central nervous system glial tumor. Adult occurrence is rare, especially in elderly adults. How to manage the pilocytic astrocytoma with spontaneous intratumoral hemorrhage in the elderly is still unfamiliar with clinician. PATIENT CONCERNS:Reports of t...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000011329
更新日期:2018-08-01 00:00:00
abstract::To investigate the safety and effectiveness of computed tomography (CT)-guided I seed implantation for locally advanced nonsmall cell lung cancer (NSCLC) after progression of concurrent radiochemotherapy (CCRT).We reviewed 78 locally advanced NSCLC patients who had each one cycle of first-line CCRT but had progressive...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000002249
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:This study aims to examine the effect of supportive psychological intervention (SPI) on psychological disorders (PD) in clinical medicine students (CMS) with English Learning Difficulties (ELD). METHODS:We will perform a comprehensive literature search from the following databases: Cochrane Library, MEDLINE...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000023196
更新日期:2020-11-20 00:00:00
abstract:BACKGROUND:Talaromyces marneffei (T marneffei), known as a significant pathogen in patients with AIDS in Southeast Asia, is a dimorphic fungus, which can cause deadly systematic infection in immunocompromised hosts. What is more, the dimorphic phase transition has been reported as a conspicuous process linked with viru...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000023409
更新日期:2020-11-25 00:00:00
abstract:BACKGROUND:Previous studies have reported that acupuncture combined Bobath approach (BA) can be used to treat limbs paralysis (LP) after hypertensive intracerebral hemorrhage (HICH) effectively. However, no systematic review has explored its effectiveness and safety for LP following HICH. In this systematic review, we ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000014750
更新日期:2019-03-01 00:00:00