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Laparoscopic Endoscopic Surgical Science ARDS ve oklu Organ Tutulumu ile Komplike Ciddi Plasmodium Vivax Enfeksiyonu Olgusu [Respir Case Rep]
Respir Case Rep. 2021; 10(2): 95-100 | DOI: 10.5505/respircase.2021.89266

ARDS ve oklu Organ Tutulumu ile Komplike Ciddi Plasmodium Vivax Enfeksiyonu Olgusu

Burcu Acar inleti1, Bengisu Arabac2, Filiz Yldz1, Ozgur Samancilar2, Ozlem Ediboglu1, Cenk Krakl1
1Salk Bilimleri niversitesi Dr. Suat Seren Gs Hastalklar Ve Cerrahisi Eitim Ve Aratrma Hastanesi, Youn Bakm Bilim Dal, zmir, Trkiye
2Salk Bilimleri niversitesi Dr. Suat Seren Gs Hastalklar ve Cerrahisi Eitim ve Aratrma Hastanesi, Gs Cerrahisi Anabilim Dal, zmir

Komplike malaryann balca sebebi Plasmodium falciparum olmakla birlike, Plasmodium vivax skl da giderek artmaktadr. Bu makalede, akut respiratuar distres sendromu ile komplike olan ve ekstrakorporeal membran oksijenasyonu destei uyguladmz bir hastamz sunduk. Hasta 49 yanda olup, skuamz hcreli karsinom iin yaplan sa st lobektomi operasyonundan sonra hipoksemi geliti ve akcier grafisinde ilerleyici bilateral infiltratlar ortaya kt. Preoperatif dnemde mevcut olmayan, ate, trombositopeni ve splenomegali grld. Periferik yayma yapld ve plasmodium vivax enfeksiyonu tespit edildi. Hipoksemisi derinleti ve entbe edildi. Bronkoskopik deerlendirmede lobektomi gdnde fistl saptand. Refrakter hipoksemi ve fistl iyilemesi iin ven-venz ekstrakorporeal membran oksijenasyonu desteine alnd, ancak akcier koruyucu ventilasyon stratejilerine ve ekstrakorporeal membran oksijenasyonuna ramen hasta kaybedildi. Bu olgu ile plasmodium vivaxn nadiren akut respiratuar distres sendromu ve oklu organ yetmezliine neden olabileceini vurgulamak istedik.

Anahtar Kelimeler: Plazmodyum enfeksiyonlar, ate, akut respiratuvar distres sendromu, ekstrakorporeal membran oksijenasyonu, malarya.

A Case of Severe Plasmodium Vivax Infection Complicated by ARDS and Multiple Organ Involvement

Burcu Acar inleti1, Bengisu Arabac2, Filiz Yldz1, Ozgur Samancilar2, Ozlem Ediboglu1, Cenk Krakl1
1Department of Intensive Care, University of Health Sciences, Dr. Suat Seren Chest Diseases and Surgery Training and Research Hospital, zmir, Turkey
2Department of Thoracic Surgery, University of Health Sciences, Dr. Suat Seren Chest Diseases and Surgery Training and Research Hospital, zmir, Turkey

Complicated malaria is caused mainly by Plasmodium falciparum, and increasingly nowadays by Plasmodium vivax. We report a case of vivax malaria complicated by acute respiratory distress syndrome and treated with extracorporeal membrane oxygenation. A 49-year-old patient was operated due to squamous cell carcinoma. After a successful right upper lobectomy operation, he became hypoxemic and developed progressive bilateral lung infiltrates. He had fever, thrombocytopenia and splenomegaly that were not present in the preoperative timeline. A peripheral blood smear verified Plasmodium vivax infection. The patient deteriorated clinically and was intubated. A bronchoscopic evaluation revealed a fistula in the lobectomy stump. Veno-venous extracorporeal membrane oxygenation was initiated due to refractory hypoxemia and to improve healing of the fistula. Our patient expired despite lung protective ventilation and extracorporeal membrane oxygenation support. This case is presented to emphasize the rare occurrence of ARDS and multiple organ failure in Plasmodium vivax infections.

Keywords: Plasmodium Infections, Fever, Acute Respiratory Distress Syndrome, Extracorporeal membrane oxygenation, malaria.

Burcu Acar inleti, Bengisu Arabac, Filiz Yldz, Ozgur Samancilar, Ozlem Ediboglu, Cenk Krakl. A Case of Severe Plasmodium Vivax Infection Complicated by ARDS and Multiple Organ Involvement. Respir Case Rep. 2021; 10(2): 95-100

Sorumlu Yazar: Burcu Acar inleti, Trkiye
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