Acevedo Alice-Christin, Zoller Michael, Scharf Christina, Liebchen Uwe, Irlbeck Michael, Schroeder Ines
Department of Anesthesiology, LMU Hospital, Ludwig Maximilians University, Munich, Germany.
Case Rep Crit Care. 2021 Oct 12;2021:9937499. doi: 10.1155/2021/9937499. eCollection 2021.
Accumulating evidence suggests that a patient subgroup with severe COVID-19 develops a cytokine release syndrome leading to capillary leakage and organ injury. Recent publications addressing therapy of cytokine storms recommended new extracorporeal therapies such as hemoadsorption. This case report describes a 59-year-old SARS-CoV-2-positive patient with severe ARDS. Due to severe hyperinflammation with concomitant hemodynamic instability and progressive renal failure, combination of continuous renal replacement and CytoSorb® hemoadsorption therapy was initiated. Treatment resulted immediately in a control of the hyperinflammatory response. Simultaneously, lung function continued to improve accompanied by profound hemodynamic stabilization. We report the successful utilization of CytoSorb® hemoadsorption in the treatment of a patient with SARS-CoV-2-induced cytokine storm syndrome.
越来越多的证据表明,患有重症COVID-19的患者亚组会出现细胞因子释放综合征,导致毛细血管渗漏和器官损伤。最近关于细胞因子风暴治疗的出版物推荐了新的体外治疗方法,如血液吸附。本病例报告描述了一名59岁的严重急性呼吸窘迫综合征(ARDS)且SARS-CoV-2呈阳性的患者。由于严重的炎症反应伴血流动力学不稳定和进行性肾衰竭,开始采用持续肾脏替代治疗和CytoSorb®血液吸附疗法相结合的治疗方法。治疗立即控制了炎症反应。同时,肺功能持续改善,血流动力学显著稳定。我们报告了成功使用CytoSorb®血液吸附疗法治疗一名患有SARS-CoV-2诱导的细胞因子风暴综合征患者的案例。