Abstract:
:Cardiomyopathy secondary to toxic shock syndrome (TSS) is an uncommon but potentially life-threatening problem. We report the case of a 51-year-old male who presented with profound cardiogenic shock and multiorgan failure that could not be managed by conventional therapy with intravenous fluids, vasopressors and inotropes. Venoarterial extracorporeal membrane oxygenation (VA ECMO) was instituted as a bridge to recovery. After administration of antibiotics and intravenous immunoglobulin, the patient's condition improved and he was successfully weaned off ECMO after 6 days. The patient recovered from multiorgan failure, and left ventricular ejection fraction improved from <10% pre-ECMO to 65% 8 months after discharge. This case supports the view that VA ECMO can be used successfully to support vital organ perfusion in patients with profound but reversible cardiomyopathy attributed to TSS.
journal_name
J Intensive Care Medjournal_title
Journal of intensive care medicineauthors
Gabel E,Gudzenko V,Cruz D,Ardehali A,Fink MPdoi
10.1177/0885066613517069subject
Has Abstractpub_date
2015-02-01 00:00:00pages
115-8issue
2eissn
0885-0666issn
1525-1489pii
0885066613517069journal_volume
30pub_type
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