Blasco V, Leone M, Xeridat F, Albanèse J, Martin C
Département d'anesthésie et de réanimation, CHU de Nord, chemin des Bourrely, 13915 Marseille cedex 20, France.
Ann Fr Anesth Reanim. 2008 Mar;27(3):244-8. doi: 10.1016/j.annfar.2008.01.011. Epub 2008 Mar 7.
We report a case of Lemierre's syndrome complicated with pulmonary septic abscesses, leading to necrotizing pneumonia. In spite of administration of appropriate antibiotics and a protective ventilation strategy, the patient had several bilateral pneumothoraces. In this setting, the mechanical ventilation was unsuccessful leading to two hypoxia-related cardiac arrests. An extracorporeal CO(2) removal was then carried out for 34-days duration. The patient was weaned from mechanical ventilation on day 68. He was then transferred to the chest surgery unit on day 83.