Otake Kosuke, Tagami Takashi, Inoue Junichi, Matsuda Kiyoshi, Yokobori Shoji
Department of Emergency and Critical Care Medicine, Nippon Medical School Musashi-Kosugi Hospital, Kawasaki, JPN.
Department of Emergency Medicine, Doshi Village Clinic, Doshi, JPN.
Cureus. 2024 Dec 11;16(12):e75528. doi: 10.7759/cureus.75528. eCollection 2024 Dec.
can cause acute respiratory distress syndrome (ARDS), which often requires intense ventilatory management. is an aerobic bacterium that prefers a high-oxygen environment. However, existing treatment strategies, including veno-venous extracorporeal membrane oxygenation (V-V ECMO), have not considered the pathogen's preference for high-oxygen environments. Herein, we report two cases of patients with severe legionella pneumonia treated with V-V ECMO. The treatment strategy in these two cases was to maintain the lowest possible oxygen concentrations to inhibit the activity of . This strategy was successful, indicating that V-V ECMO may be useful to improve outcomes in severe ARDS caused by , especially when introduced earlier.
可导致急性呼吸窘迫综合征（ARDS），这通常需要强化通气管理。 是一种需氧菌，偏好高氧环境。然而，包括静脉-静脉体外膜肺氧合（V-V ECMO）在内的现有治疗策略并未考虑病原体对高氧环境的偏好。在此，我们报告两例接受V-V ECMO治疗的重症军团菌肺炎患者。这两例患者的治疗策略是维持尽可能低的氧浓度以抑制 的活性。该策略取得了成功，表明V-V ECMO可能有助于改善由 引起的重症ARDS的治疗结果，尤其是在更早引入时。
